Adoption Consent Form

Colorado Family Law Updated August 28, 2026 Free Word and PDF

COLORADO ADOPTION CONSENT PREPARATION PACKET

NOT A CONSENT — DO NOT SIGN OR FILE AS-IS

Use this packet to classify the proposed adoption, identify every person and agency with a possible role, collect records, assess voluntariness and protections, research the correct current forms, and prepare counsel's transfer to an executable consent or court filing. Completing this packet does not relinquish or terminate any right.

1. MATTER CONTROL

Item Information
Child's current legal name [________________________________]
Child's date of birth or expected date [__/__/____]
Child's current location [________________________________]
Proposed adoptive parent or parents [________________________________]
Parent or proposed consenting person [________________________________]
Other possible parent or legal custodian [________________________________]
Agency, department, guardian, or intermediary [________________________________]
Existing case or proceeding [________________________________]
Colorado adoption counsel [________________________________]
Independent counsel for consenting person [________________________________]
Proposed consent or filing date [__/__/____]
Next independently verified deadline [__/__/____]
Deadline owner [________________________________]

2. ADOPTION AND PROCEEDING CLASSIFICATION

Question Facts and document source Counsel conclusion
Minor, adult, stepparent, relative, agency, independent, foster-care, international, or other adoption? [________________________________] [________________________________]
Proposed consent, voluntary termination, involuntary termination, waiver, acknowledgment, or another route? [________________________________] [________________________________]
Probate Court, Superior Court, agency, department, or another decision-maker involved? [________________________________] [________________________________]
Colorado is home state, sending state, receiving state, or another role? [________________________________] [________________________________]
Interstate placement or compact issue? [________________________________] [________________________________]
Tribal membership, eligibility, ancestry, domicile, custody, or notice issue? [________________________________] [________________________________]
Public assistance, foster care, subsidy, special-needs, or agency-custody issue? [________________________________] [________________________________]
Existing custody, guardianship, divorce, parentage, support, protection, probate, or juvenile matter? [________________________________] [________________________________]
Immigration, citizenship, passport, international treaty, or foreign-order issue? [________________________________] [________________________________]
Disability, interpreter, literacy, age, capacity, coercion, incarceration, military, or hospitalization issue? [________________________________] [________________________________]

3. CURRENT-LAW AND FORM REGISTER

Counsel must complete this register from current official Colorado sources and current court or agency materials before preparing any executable document.

Issue Current official authority or form Operative quotation or instruction Matter-specific conclusion Checked on
Adoption type and jurisdiction [________] "[________]" [________] [__/__/____]
Persons whose consent, notice, waiver, or termination is required [________] "[________]" [________] [__/__/____]
Parentage, presumed parent, putative parent, or unknown-parent route [________] "[________]" [________] [__/__/____]
Child consent or participation [________] "[________]" [________] [__/__/____]
Timing after birth or another event [________] "[________]" [________] [__/__/____]
Counseling, independent advice, or required disclosure [________] "[________]" [________] [__/__/____]
Voluntariness, capacity, interpreter, and undue-influence protection [________] "[________]" [________] [__/__/____]
Revocation, withdrawal, challenge, or court-approval standard [________] "[________]" [________] [__/__/____]
Witness, oath, acknowledgment, judge, notary, or agency signature [________] "[________]" [________] [__/__/____]
Required form, attachments, filing, service, and hearing [________] "[________]" [________] [__/__/____]
Expenses, payments, benefits, and financial disclosure [________] "[________]" [________] [__/__/____]
Agency, department, guardian, or investigation requirement [________] "[________]" [________] [__/__/____]
Interstate, tribal, international, or immigration overlay [________] "[________]" [________] [__/__/____]
Records, confidentiality, access, and identifying information [________] "[________]" [________] [__/__/____]
Post-adoption contact, sibling, inheritance, support, and decree effect [________] "[________]" [________] [__/__/____]

An older consent, commercial form, notary block, or generic revocation placeholder is only a research lead.

4. CHILD INFORMATION

Field Information and evidence
Current legal name [________________________________]
Other name used [________________________________]
Date, time, and place of birth [________________________________]
Birth record status [________________________________]
Current residence and caregiver [________________________________]
Citizenship or immigration information [________________________________]
Medical, developmental, educational, or disability needs [________________________________]
Siblings and relationship plan [________________________________]
Tribal, cultural, religious, racial, ethnic, and community connections [________________________________]
Existing custody, guardianship, support, or protection order [________________________________]
Attorney, guardian, representative, or agency worker [________________________________]

Use only the personal information required for the authorized process. Protect sealed, confidential, medical, and identifying records.

5. PROPOSED CONSENTING PERSON

Field Information and evidence
Full legal name and prior names [________________________________]
Relationship or claimed legal status [________________________________]
Date of birth [__/__/____]
Address and reliable contact route [________________________________]
Marital and relationship history relevant to parentage [________________________________]
Existing order, acknowledgment, birth record, or genetic result [________________________________]
Custody, guardianship, support, or visitation rights [________________________________]
Age, capacity, disability, interpreter, literacy, or accommodation [________________________________]
Incarceration, military, immigration, hospitalization, or safety issue [________________________________]
Counsel and independence of representation [________________________________]
Identity evidence [________________________________]

Do not label a person a birth parent, legal parent, putative parent, presumed parent, guardian, custodian, or required signer until current authority and records support that status.

6. OTHER PARENTAGE AND NOTICE REVIEW

Person or lead Basis Search or notice step Result Counsel conclusion
Spouse or former spouse [________] [________] [________] [________]
Acknowledged or adjudicated parent [________] [________] [________] [________]
Alleged or possible genetic parent [________] [________] [________] [________]
Person on birth record [________] [________] [________] [________]
Custodian, guardian, agency, or department [________] [________] [________] [________]
Unknown or unlocatable person [________] [________] [________] [________]
Tribal, interstate, military, or other notice recipient [________] [________] [________] [________]

Record diligent-search work and confidential identifiers in the appropriate protected file, not in a public-facing packet.

7. VOLUNTARINESS AND PROTECTION INTERVIEW

The proposed consenting person should answer in their own words, outside the presence of anyone whose interests may differ.

Topic Response Follow-up
Understanding of the proposed document [________________________________] [________________________________]
Understanding of immediate and later effects [________________________________] [________________________________]
Alternatives discussed [________________________________] [________________________________]
Questions answered by independent counsel or authorized adviser [________________________________] [________________________________]
Time available to consider [________________________________] [________________________________]
Pressure, threat, promise, fraud, coercion, or duress concern [________________________________] [________________________________]
Medication, substance, illness, pain, fatigue, or emotional crisis [________________________________] [________________________________]
Payment, expense, gift, benefit, housing, transportation, or support [________________________________] [________________________________]
Interpreter, literacy, hearing, vision, disability, or communication support [________________________________] [________________________________]
Desire to proceed, pause, or obtain more advice [________________________________] [________________________________]

If voluntariness, capacity, comprehension, safety, or independence is uncertain, pause the process and obtain the appropriate legal or professional review.

8. COUNSELING, DISCLOSURE, AND ADVICE RECORD

Item Required? Provider or source Date Document retained
Independent legal advice [________] [________] [__/__/____] [________]
Adoption counseling [________] [________] [__/__/____] [________]
Alternatives and services information [________] [________] [__/__/____] [________]
Medical and social history forms [________] [________] [__/__/____] [________]
Rights and consequences disclosure [________] [________] [__/__/____] [________]
Revocation, withdrawal, challenge, or hearing explanation [________] [________] [__/__/____] [________]
Records and confidentiality explanation [________] [________] [__/__/____] [________]
Interpreter or accessible-format certification [________] [________] [__/__/____] [________]

Do not describe counseling, waiver, or disclosure as mandatory or optional until the current route has been verified.

9. EXPENSE AND BENEFIT REGISTER

Date Payer Recipient Purpose Amount or value Authority or approval Receipt
[__/__/____] [________________________________] [________________________________] [________________________________] $[________] [________________________________] [________________________________]
Additional issue Information
Public benefits or insurance [________________________________]
Agency or court approval [________________________________]
Reimbursement if placement or adoption does not proceed [________________________________]
Gift, loan, housing, transportation, employment, or other benefit [________________________________]
Financial-disclosure filing [________________________________]

No payment or benefit should be described as consideration for a consent.

10. CONTACT, INFORMATION, AND RELATIONSHIP PLANNING

Topic Proposed preference Separate agreement or court review
Updates before placement or decree [________________________________] [________________________________]
Post-placement contact [________________________________] [________________________________]
Post-adoption contact [________________________________] [________________________________]
Sibling contact [________________________________] [________________________________]
Exchange of photographs, letters, or medical history [________________________________] [________________________________]
Identifying and nonidentifying records [________________________________] [________________________________]
Change of address or contact route [________________________________] [________________________________]
Safety, privacy, confidentiality, and social media [________________________________] [________________________________]
Enforcement, modification, or termination of contact arrangement [________________________________] [________________________________]

Do not imply that a contact preference is enforceable, nonmodifiable, confidential, or part of the consent unless current authority and the approved document establish that result.

11. TIMING AND SEQUENCE MAP

Event Verified prerequisite Earliest or required date Required document Owner
Birth or other triggering event [________] [__/__/____] [________] [________]
Independent advice or counseling [________] [__/__/____] [________] [________]
Consent or termination document [________] [__/__/____] [________] [________]
Agency, department, guardian, or court signature [________] [__/__/____] [________] [________]
Placement approval [________] [__/__/____] [________] [________]
Petition filing and service [________] [__/__/____] [________] [________]
Hearing or investigation [________] [__/__/____] [________] [________]
Revocation, withdrawal, or challenge endpoint, if any [________] [__/__/____] [________] [________]
Decree or final order [________] [__/__/____] [________] [________]

Calendar every date independently. A private agreement or placeholder does not create or extend a legal deadline.

12. EXECUTION AND FORM PLAN

Control Verified requirement
Correct current consent, petition, or termination form [________________________________]
Required signer or signers [________________________________]
Signature timing and location [________________________________]
Witness number and qualifications [________________________________]
Oath, penalty-of-false-statement, or verification [________________________________]
Judge, clerk, agency, notary, or authorized-person role [________________________________]
In-person, remote, electronic, or paper method [________________________________]
Interpreter or accommodation certificate [________________________________]
Independent counsel or counseling certificate [________________________________]
Attachments and identifying records [________________________________]
Filing, service, sealed treatment, and copies [________________________________]

Do not use the generic commercial signature and acknowledgment blocks from the old document.

13. REVOCATION, WITHDRAWAL, AND CHALLENGE REVIEW

Question Current authority Matter-specific answer
Is withdrawal or revocation available before approval or decree? [________________________________] [________________________________]
What standard, event, period, or decision-maker applies? [________________________________] [________________________________]
What form, filing, service, or hearing is required? [________________________________] [________________________________]
Does placement, approval, termination, or decree change the route? [________________________________] [________________________________]
What challenge grounds and deadlines exist? [________________________________] [________________________________]
What happens while a challenge is pending? [________________________________] [________________________________]

Do not label a consent irrevocable, final, binding, rescindable, or subject to a fixed window until counsel verifies the exact stage and route.

14. OFFICIAL-FORM TRANSFER

Required field Counsel-approved information or instruction
Court, agency, proceeding, and case [________________________________]
Child identification [________________________________]
Consenting person and legal status [________________________________]
Proposed adoptive parent or parents [________________________________]
Consent, surrender, waiver, or termination language [________________________________]
Rights and consequence disclosures [________________________________]
Counseling, advice, voluntariness, and interpreter record [________________________________]
Revocation, withdrawal, challenge, and court-approval language [________________________________]
Contact or information arrangement reference [________________________________]
Expense or payment disclosure [________________________________]
Signature, witness, oath, acknowledgment, or agency block [________________________________]
Attachments, filing, service, and sealed treatment [________________________________]

Counsel-approved executable or fileable document filename and revision: [________________________________]

Approved by Colorado adoption counsel: [________________________________]

Approval date: [__/__/____]

15. FINAL REVIEW

☐ Adoption type, court or agency, jurisdiction, interstate, tribal, international, and immigration routes verified.

☐ Child identity, residence, legal status, custody, siblings, needs, and confidential records reviewed.

☐ Every possible parent, custodian, guardian, agency, and required notice recipient identified through the verified process.

☐ Proposed consenting person's identity, legal status, capacity, voluntariness, independence, safety, communication, and representation reviewed.

☐ Counseling, disclosures, advice, expenses, benefits, contact planning, and records treatment comply with the verified route.

☐ Timing, revocation, withdrawal, challenge, approval, placement, petition, service, hearing, and decree steps are separately calendared.

☐ Current official form and execution instructions control witnesses, oath, acknowledgment, signatures, attachments, filing, and copies.

☐ No default, specific performance, prevailing-party fee, jury waiver, arbitration, reformation, consideration, or electronic-original clause remains.

☐ The outgoing document is the counsel-approved current form or filing, not this packet.

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About this template

Last updated
August 28, 2026
Citations checked
August 28, 2026
Jurisdiction
Colorado
Category
Family Law

Family law covers the paperwork that shapes divorce, custody, child support, adoption, guardianship, and other family matters. These filings are emotional and high-stakes, and they also have to meet strict procedural rules for service, financial disclosure, and parenting plans. Clean, accurate paperwork keeps the focus on getting a workable outcome for the family instead of getting derailed by technical problems that delay hearings or force amended filings.

Not legal advice

This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on August 28, 2026.

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