Adoption Consent Form - Preparation Worksheet - Maryland
MARYLAND ADOPTION CONSENT ROUTE AND PREPARATION WORKSHEET
This worksheet helps counsel select and prepare the current official Maryland consent package. It is deliberately not written as a consent and has no signature block. Do not sign this worksheet or use it in place of a Maryland Judiciary, agency, or court-directed form.
1. Stop and select the legal route
Select one route only after counsel reviews the existing custody and parental-rights record.
Public-agency adoption without prior termination of parental rights
- ☐ The prospective adoptee is a child in need of assistance.
- ☐ The petitioner seeks adoption without a prior termination order.
- ☐ Use current Maryland Judiciary Form CC-DR-100, Consent of Parent to a Public Agency Adoption Without Prior Termination of Parental Rights (Form 9-102.2).
- ☐ Counsel confirmed the juvenile case, notice, filing, and revocation instructions printed on the current form.
Private-agency guardianship or adoption
- ☐ A licensed private child-placement agency is arranging the matter.
- ☐ Do not use the independent-adoption parent forms merely because the proposed adoptive parents are known.
- ☐ The agency and counsel identified the required guardianship or adoption consent and every attachment.
- ☐ If a minor or disabled parent's consent requires counsel's affidavit, review current CC-DR-105, Attorney Affidavit as to Consent of a Parent to a Private Agency Guardianship (Form 9-102.7).
- ☐ Counsel applied Md. Code, Family Law § 5-3A-19 to the guardianship-consent route.
Independent adoption — consenting parent's rights will end
- ☐ The adoption is not arranged by an adoption or child-placement agency.
- ☐ The consenting parent's parental rights will terminate if the adoption is granted.
- ☐ Use current CC-DR-101, Consent of Parent to an Independent Adoption With Termination of Parental Rights (Form 9-102.3).
Independent adoption — consenting parent will retain rights
- ☐ The adoption is not arranged by an adoption or child-placement agency.
- ☐ The consenting parent will retain parental rights, as may occur for the custodial parent in a stepparent adoption.
- ☐ Use current CC-DR-102, Consent of Parent to an Independent Adoption Without Termination of Parental Rights (Form 9-102.4).
Child consent
- ☐ Counsel determined whether the prospective adoptee's consent is required. For an independent adoption of a minor, § 5-3B-20 requires consent if the prospective adoptee is at least ten years old.
- ☐ Agency route: use current CC-DR-103, Consent of Child to a Public Agency Adoption or Private Agency Adoption (Form 9-102.5) when applicable.
- ☐ Independent route: use current CC-DR-104, Consent of Child to an Independent Adoption (Form 9-102.6) when applicable.
- ☐ Counsel determined whether CC-DR-107, Attorney Affidavit as to Consent of a Child to Adoption (Form 9-102.9) is required.
Different proceeding
- ☐ Adult adoption, contested adoption, prior termination, CINA guardianship, confirmatory parentage/adoption, interstate placement, tribal or Indian-child matter, or foreign adoption is involved.
- ☐ Stop. Obtain the route-specific petition, consent, notice, and court instructions. Do not adapt this worksheet into an operative instrument.
Selected route: [________________________________]
Current official form number and revision date: [________________________________]
Attorney or agency confirming route: [________________________________]
Date confirmed: [__/__/____]
2. Court and case control
| Item | Information |
|---|---|
| Circuit Court for | [________________________________] City/County |
| Court address | [________________________________] |
| Adoption or juvenile clerk address | [________________________________] |
| Case number, if assigned | [________________________________] |
| Related CINA, custody, guardianship, parentage, or termination case | [________________________________] |
| Petitioner or petitioners | [________________________________] |
| Prospective adoptee | [________________________________] |
| Licensed agency or local department, if any | [________________________________] |
| Petition filed or expected filing date | [__/__/____] |
Do not invent a private forum-selection clause. The correct Circuit Court, clerk, case caption, and related-case treatment must come from the governing route and court instructions.
3. Prospective adoptee information
| Field | Information |
|---|---|
| Current full legal name | [________________________________] |
| Requested name after adoption | [________________________________] |
| Date and time of birth | [________________________________] |
| Hospital or exact place of birth | [________________________________] |
| City, county, state, and country of birth | [________________________________] |
| Current age | [________________________________] |
| Current custodian or guardian | [________________________________] |
| Placement date and authority | [________________________________] |
| Indian Child Welfare Act inquiry result | [________________________________] |
| Known tribe, eligibility, reservation residence, or family connection | [________________________________] |
4. Consent and rights-status matrix
List every person or unit whose consent, notice, objection, prior termination, or court finding may matter. A blank line is not a waiver.
| Person or Unit | Legal Relationship or Authority | Current Rights Status | Consent/Form Needed | Counsel Review |
|---|---|---|---|---|
| [________________] | [________________] | [________________] | [________________] | ☐ |
| [________________] | [________________] | [________________] | [________________] | ☐ |
| [________________] | [________________] | [________________] | [________________] | ☐ |
| Prospective adoptee | Child, age [____] | [________________] | [________________] | ☐ |
| Agency, department, guardian, or other authorized person | [________________] | [________________] | [________________] | ☐ |
- ☐ Birth-certificate, parentage, marriage, domestic-partnership, acknowledgment, genetic-testing, and prior-order records were reviewed.
- ☐ Every alleged, acknowledged, adjudicated, presumed, or de facto parent was addressed.
- ☐ A contested or missing consent is being handled through the court process, not through a private waiver, default clause, or promise not to object.
- ☐ The adult-adoption exception and any assisted-reproduction or confirmatory route were considered.
5. Independent-adoption validity checklist
Complete this section only for the independent-adoption route.
- ☐ The child has already been born. Section 5-3B-21 does not validate a pre-birth consent.
- ☐ The signer received the consent and instructions in a language the signer understands.
- ☐ If the consent is in a language other than English, counsel arranged either an on-the-record consent before a judge or the translator affidavit required by § 5-3B-21.
- ☐ The official form contains the required notice of the parent's 30-day revocation right and adoption-record rights.
- ☐ Unless the adoption is by a spouse of the prospective adoptee's parent or by a relative, the official form advises the parent of the rights to independent counsel and adoption counseling and guidance.
- ☐ The official form records whether the parent chose or declined counsel and counseling. Counseling is not converted into a universal mandatory completed-session requirement.
- ☐ If the parent is a minor or has a disability within § 5-3B-06, appointed counsel reviewed the matter and the required attorney affidavit is prepared on current CC-DR-106 (Form 9-102.8).
- ☐ No lawyer or firm represents both a prospective adoptive parent and a parent in the same adoption case.
- ☐ Counsel determined whether a post-adoption agreement exists and whether a copy must accompany the consent.
- ☐ The official form's signed instructions, witness information, copy requirement, and filing directions will be followed exactly.
6. Route-specific revocation control
Do not use one generic revocation clause across Maryland adoption routes.
| Route | Controlling Current Instruction | Deadline Calculated by Counsel | Delivery Destination | Proof of Receipt |
|---|---|---|---|---|
| Independent parent consent under § 5-3B-21 / CC-DR-101 or CC-DR-102 | Subject to the statute's repeat-consent exception, within 30 days after signing | [________________] | Adoption Clerk, Circuit Court for [________________] | [________________] |
| Private-agency guardianship consent under § 5-3A-19 | Subject to the statute's exception, within 30 days after signing | [________________] | [________________] | [________________] |
| Public-agency adoption under CC-DR-100 | Use the later-of-signing-or-petition-filing instructions printed on the current form | [________________] | Juvenile Clerk, Circuit Court for [________________] | [________________] |
| CINA guardianship or another route | Use that proceeding's current statute, rule, order, and form | [________________] | [________________] | [________________] |
For an independent adoption, § 5-3B-21 also permits the prospective adoptee to revoke consent before the court enters the adoption order. A private notice to the prospective adoptive parents or their lawyer is not substituted for delivery to the court specified by the governing form.
7. Counsel, counseling, language, and capacity record
| Safeguard | Person | Provider or Attorney | Date | Record or Attachment |
|---|---|---|---|---|
| Independent legal advice | [________________] | [________________] | [__/__/____] | [________________] |
| Court-appointed counsel | [________________] | [________________] | [__/__/____] | [________________] |
| Adoption counseling or guidance | [________________] | [________________] | [__/__/____] | [________________] |
| Translation or interpretation | [________________] | [________________] | [__/__/____] | [________________] |
| Capacity accommodation | [________________] | [________________] | [__/__/____] | [________________] |
- ☐ The signer understands that prospective-adoptive-parent counsel does not represent the signer.
- ☐ Any decision to decline counsel or counseling is recorded only where the official form and current law permit it.
- ☐ Any appointed-counsel affidavit addresses knowing and voluntary consent in the required form.
- ☐ No invented counselor certification, waiting period after counseling, notarization requirement, or electronic-signature permission has been added.
8. Expense and compensation review
Do not describe payments as consideration for consent. Section 5-3B-32 prohibits compensation for placement or an agreement for custody in contemplation of adoption, while permitting only the listed reasonable charges and expenses.
| Proposed Payment | Payee | Amount | Statutory Category | Receipt or Physician Advice | Counsel Approved |
|---|---|---|---|---|---|
| [________________] | [________________] | $[________] | [________________] | [________________] | ☐ |
| [________________] | [________________] | $[________] | [________________] | [________________] | ☐ |
| [________________] | [________________] | $[________] | [________________] | [________________] | ☐ |
- ☐ No payment is conditioned on signing, not revoking, surrendering custody, or completing the adoption.
- ☐ Food, clothing, or shelter expenses for a birth mother are supported by the written physician advice required by § 5-3B-32 when that category is used.
- ☐ Required court-appearance, medical-transportation, counseling, hospital, legal, and medical expenses were reviewed for reasonableness and documentation.
- ☐ Counsel reviewed any interstate, agency, ethics, trust-account, disclosure, or court-approval requirement.
9. Official-form preparation record
| Item | Confirmed Information |
|---|---|
| Correct official form and revision date | [________________________________] |
| Signer's full name, date of birth, address, and telephone | [________________________________] |
| Child's complete birth information | [________________________________] |
| Signer's parental or legal status | [________________________________] |
| Prospective adoptive parent name or permitted identifying description | [________________________________] |
| Counsel and counseling selections | [________________________________] |
| Notice waiver selection, if permitted and chosen | [________________________________] |
| Court and clerk address for any revocation | [________________________________] |
| Adult witness name, address, and telephone | [________________________________] |
| Signed instruction pages attached | ☐ Yes ☐ Not yet |
| Post-adoption agreement attached, if applicable | ☐ Yes ☐ No agreement ☐ Counsel reviewing |
| Translator or attorney affidavit attached, if required | ☐ Yes ☐ Not applicable ☐ Not yet |
| Copy-delivery plan for signer | [________________________________] |
Transfer the final information to the current official form. Do not add consideration recitals, representations and warranties, noninterference covenants, default and cure terms, specific performance, prevailing-party fees, indemnity, liability caps, forum selection, jury waiver, assignment, counterparts, or private electronic-signature clauses.
10. Final legal review
- ☐ The current Maryland Judiciary forms index was checked on [__/__/____].
- ☐ The form number, title, and revision date match the selected route.
- ☐ All statutory consents, notices, objections, prior terminations, and court findings were addressed.
- ☐ The required child consent and any attorney affidavit were addressed.
- ☐ The exact execution method, adult witness, signed-instructions attachment, and copy requirement were confirmed from the current form.
- ☐ The revocation deadline and court delivery address were calculated separately for this route.
- ☐ Any post-adoption agreement, Indian Child Welfare Act issue, interstate placement, immigration issue, or foreign order received separate review.
- ☐ No one will sign until independent counsel, agency counsel, and the filing court's current instructions are satisfied.
Reviewing Maryland attorney: [________________________________]
Maryland attorney number: [________________________________]
Review completed: [__/__/____]
Sources and References
- Maryland Judiciary — Family Law Court Forms
- CC-DR-100 — Public Agency Adoption Without Prior Termination
- CC-DR-101 — Independent Adoption With Termination of Parental Rights
- CC-DR-102 — Independent Adoption Without Termination of Parental Rights
- CC-DR-103 — Child Consent to Public or Private Agency Adoption
- CC-DR-104 — Child Consent to Independent Adoption
- CC-DR-105 — Attorney Affidavit for Private Agency Guardianship Consent
- CC-DR-106 — Attorney Affidavit for Parent Consent to Adoption
- CC-DR-107 — Attorney Affidavit for Child Consent to Adoption
- Md. Code, Family Law § 5-3A-19
- Md. Code, Family Law § 5-3B-06
- Md. Code, Family Law § 5-3B-20
- Md. Code, Family Law § 5-3B-21
- Md. Code, Family Law § 5-3B-32
About this template
- Last updated
- August 25, 2026
- Citations checked
- August 25, 2026
- Jurisdiction
- Maryland
- Category
- Family Law
Legal authority
- Md. Code, Fam. Law § 5-3A-19 (private-agency guardianship consent validity and revocation)
- Md. Code, Fam. Law § 5-3B-06 (appointed counsel in independent-adoption cases)
- Md. Code, Fam. Law § 5-3B-20 (consents required for independent adoption of a minor)
- Md. Code, Fam. Law § 5-3B-21 (independent-adoption consent contents and revocation)
- Md. Code, Fam. Law § 5-3B-32 (prohibited compensation and permitted expenses)
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 25, 2026.
Md. Code, Fam. Law § 5-3A-19 (checked August 25, 2026): "Consent to guardianship is not valid unless the consent: (i) is given after the child for whom guardianship is sought is born; (ii) is given in a language that the party understands; (iii) if given in a language other than English: 1. is given before a judge on the record; or 2. is accompanied by the affidavit of a translator stating that the translation of the document of consent is accurate; (iv) contains an express notice of: 1. the right to revoke consent, at any time within 30 days after the person signs the consent, unless the revocation is barred under subsection (b)(2) of this section; 2. the search rights of adoptees and parents under § 5-3A-42 of this subtitle and the search rights of adoptees, parents, and siblings under Subtitle 4B of this title; and 3. the right to file a disclosure veto under § 5-3A-42 of this subtitle; and (v) is accompanied by an affidavit of counsel appointed under § 5-3A-07(a) of this subtitle stating that a parent who is a minor or has a disability consents knowingly and voluntarily. Subject to paragraph (2) of this subsection, a person may revoke consent to guardianship at any time within 30 days after the person signs the consent."
Md. Code, Fam. Law § 5-3B-06 (checked August 25, 2026): "In a case under this subtitle, a court shall appoint an attorney to represent a parent who: (i) has a disability that makes the parent incapable of effectively participating in the case; or (ii) when the parent must decide whether to consent to adoption, is still a minor."
Md. Code, Fam. Law § 5-3B-20 (checked August 25, 2026): "A court may enter an order for adoption only if: (1) (i) 1. each of the prospective adoptee's living parents consents in writing or by failure to timely file notice of objection after being served with a show-cause order in accordance with this subtitle; 2. an administrative, executive, or judicial body of a state or other jurisdiction has granted a governmental unit or person other than a parent the power to consent to adoption, and the unit or person consents; or 3. parental rights have been terminated in compliance with the laws of a state or other jurisdiction, as described in § 5-3B-04 of this subtitle; and (ii) if the prospective adoptee is at least 10 years old, the prospective adoptee consents; or (2) in accordance with § 5-3B-22 of this subtitle, the court orders adoption without consent otherwise required under this section."
Md. Code, Fam. Law § 5-3B-21 (checked August 25, 2026): "Consent to adoption under this subtitle is not valid unless the consent: (i) is given after the prospective adoptee is born; (ii) is given in a language that the party understands; (iii) if given in a language other than English: 1. is given before a judge on the record; or 2. is accompanied by the affidavit of a translator stating that the translation of the document of consent is accurate; (iv) contains an express notice of: 1. the right to revoke consent, at any time within 30 days after the consent is signed; 2. the search rights of adoptees and parents under § 5-3B-29 of this subtitle and the search rights of adoptees, siblings, and parents under Subtitle 4B of this title; and 3. the right to file a disclosure veto under § 5-3B-29 of this subtitle; (v) except as to an adoption by a spouse of the prospective adoptee's parent or a relative of the prospective adoptee, states that the parent has been advised of the parent's rights to: 1. have independent counsel; and 2. receive adoption counseling and guidance; (vi) states whether the parent chose to have or not have counsel or counseling; and (vii) is accompanied by an affidavit of counsel appointed under § 5-3B-06 of this subtitle stating that a parent who is a minor or has a disability gives consent knowingly and voluntarily. Subject to subparagraph (ii) of this paragraph, a parent may revoke consent at any time within 30 days after the parent signs the consent."
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