Adoption Consent Form

DISTRICT OF COLUMBIA ADOPTION CONSENT — INVESTIGATION AND DRAFTING PACKET

NOT AN OPERATIVE CONSENT — DO NOT SIGN OR FILE. Adoption consent can
permanently affect parental, child, inheritance, custody, contact, support,
identity, and family rights. This packet organizes the facts and current-law
questions for a separately prepared official or counsel-approved document.

1. Matter control

2. Adoption-track classification

Select and verify the exact route.

☐ Stepparent adoption

☐ Relative or kinship adoption

☐ Agency adoption

☐ Independent or private placement

☐ Foster-care or child-welfare adoption

☐ Adult adoption

☐ Interstate placement or adoption

☐ International adoption

☐ Tribal child or potential tribal-child matter

☐ Adoption involving assisted reproduction, surrogacy, or disputed parentage

☐ Adoption after death, incapacity, guardianship, incarceration, or unknown parent

☐ Other: [________________________________]

Approved adoption track: [________________________________]

Required petition, agency, compact, tribal, immigration, or court documents: [________________________________]

3. Parentage, custody, and party map

Parentage, custody, guardianship, and prior-order conflicts: [________________________________]

4. Current-authority and official-form register

Official form selected: [________________________________]

Research completed by and date: [________________________________]

5. Child and placement record

6. Consenting-person identity and capacity

7. Voluntariness and informed-decision record

The operative process should document the information and advice required by
current law and the facts of the case.

☐ Nature and purpose of the proposed adoption explained

☐ Identity or permitted description of proposed adoptive parent or parents explained

☐ Alternatives to adoption discussed as required or appropriate

☐ Effect on parental, custody, contact, support, inheritance, identity, and decision-making rights reviewed

☐ Timing, waiting, revocation, withdrawal, and challenge rules reviewed

☐ Confidentiality, records, and future information access reviewed

☐ Financial, medical, counseling, travel, housing, or other support disclosed

☐ No prohibited payment, promise, threat, pressure, or undisclosed condition identified

☐ Questions answered in the consenting person's preferred language

☐ Independent counsel or knowing counsel decision documented

Person explaining rights: [________________________________]

Date, duration, and method of explanation: [________________________________]

Open questions or unresolved pressure: [________________________________]

8. Tribal, interstate, and special-jurisdiction screen

No tribal or interstate conclusion may be made from appearance, surname, family
silence, or an unchecked box.

9. Timing and execution plan

Do not sign this packet. Sign only the completed operative consent through the
verified process.

10. Operative-consent drafting workspace

Counsel should use the current official form or a document accepted for the
selected track.

Identification

[Insert the required child, consenting-person, proposed-parent, court, agency,
and case information.]

Status and authority

[Insert the verified legal status of the consenting person and the authority
for this consent.]

Voluntary and informed statement

[Insert only the current required or counsel-approved language, including any
advice, counseling, disclosure, and interpreter statements.]

Consent

[Insert the exact consent authorized for the selected adoption track. Do not
add a blanket waiver of every unknown right or future claim.]

Revocation or withdrawal

[Insert the current verified rule and method without broadening or shortening it.]

Contact, records, and separate agreements

[Identify any separately reviewed contact agreement, information exchange,
medical-history record, or agency document.]

Execution

[Insert the required signatures, certificates, witnesses, acknowledgment, and
date/time fields.]

11. Filing and record plan

Confidentiality, sealing, redaction, and secure-storage instructions: [________________________________]

12. Final review

☐ Correct District of Columbia adoption track, court, parties, and legal statuses verified

☐ Every required, permitted, excused, or disputed consent identified

☐ Child participation and independent representation reviewed

☐ Voluntariness, capacity, language, counsel, disclosure, and payment issues resolved

☐ Timing, waiting, execution, revocation, filing, and service independently verified

☐ Tribal, interstate, immigration, military, agency, and child-welfare screens completed

☐ No contract-default, indemnity, fee, arbitration, jury-waiver, liability-cap, or force-majeure language remains

☐ Operative document uses the current official or court-accepted form

☐ Qualified District of Columbia adoption counsel approved the operative consent

Prepared by: [________________________________]

Review date: [__/__/____]

This template is provided for informational purposes only and does not constitute legal advice.