Adoption Consent Form - Preparation Worksheet - South Dakota

South Dakota Family Law Updated August 21, 2026 Free Word and PDF

SOUTH DAKOTA ADOPTION CONSENT — ROUTE AND DRAFTING PACKET

NOT AN OPERATIVE CONSENT — DO NOT SIGN OR FILE. This packet separates a
Chapter 25-6 adoption consent from a Chapter 25-5A voluntary termination of
parental rights. Counsel must select and complete the correct court process.

1. Matter control

Item Verified entry
Child's current legal name [________________________________]
Child's date and place of birth [________________________________]
Proposed adoptive name [________________________________]
Proposed adoptive parent or parents [________________________________]
Parent or other person whose consent is under review [________________________________]
Claimed parentage or legal status [________________________________]
Current legal and physical custodian [________________________________]
Existing court, case number, and orders [________________________________]
Authorized agency, if any [________________________________]
South Dakota adoption counsel [________________________________]
Counsel for person considering consent [________________________________]

2. Select the statutory route before drafting

Select one primary route. Do not combine their timing, counseling, appearance,
or legal-effect rules.

Route A — Consent within a Chapter 25-6 adoption

☐ A circuit-court adoption petition is or will be pending.

☐ Counsel has identified every person whose consent is necessary under current
law and any person from whom the court must waive consent under § 25-6-4.

☐ The written consent, the adopting person's separate agreement, filing, and
hearing appearances will be handled under § 25-6-12.

Route B — Voluntary termination under Chapter 25-5A

☐ A parent will petition for voluntary termination before or apart from the
adoption.

☐ The Chapter 25-5A petition, medical-and-social-history form, counseling,
notice, appearance, hearing, and proposed order are being prepared separately.

☐ The petition will not be filed before five days after the child's birth.
This is the filing restriction in § 25-5A-4. It is not a five-day adoption-
consent signing rule and not a five-day consent-revocation period.

Route C — Court determination that consent may be waived

☐ Counsel will plead and prove a current statutory ground under § 25-6-4.

☐ No private form states that another person's consent is unnecessary. That is
a court determination under the statute, not a representation by the signer.

Selected route and reason: [________________________________]

3. Court, jurisdiction, and venue

South Dakota circuit courts determine adoption matters under § 25-6-6. Under
the current text of § 25-6-7, as amended by 2026 Session Laws chapter 120, the
petition may be filed in the circuit court for:

  1. the county where the adopting parent resides;
  2. the county where the authorized agency having legal or physical care,
    custody, or control of the child is located; or

  3. the county where the child was born or resides.

Venue check Facts
Adopting parent's county of residence [________________________________]
Authorized agency and its county, if applicable [________________________________]
Child's county of birth [________________________________]
Child's county of residence [________________________________]
Selected county and statutory basis [________________________________]
Circuit court and case number [________________________________]

Do not label the tribunal a generic “Family Court.” Confirm the circuit-court
caption and current local filing instructions.

4. Parentage, consent, notice, and custody map

Section 25-6-4 begins with the rule that a child may not be adopted without the
parents' consent, subject to a court waiver on one of the statute's grounds.
Investigate status rather than relying on labels supplied by the parties.

Person or entity Claimed status Supporting record Consent, notice, appearance, or court ruling required
Parent 1 [________] [________] [________]
Parent 2 [________] [________] [________]
Putative, acknowledged, presumed, or adjudicated parent [________] [________] [________]
Guardian or custodian [________] [________] [________]
Child [________] [________] [________]
Authorized agency or Department of Social Services [________] [________] [________]
Tribe or tribal representative [________] [________] [________]
Other interested person [________] [________] [________]

If the child is over twelve, § 25-6-5 requires the child's consent. Prepare the
child's consent and participation process separately under counsel and court
direction.

5. Chapter 25-6 written-document and appearance plan

Section 25-6-12 requires, before the adoption hearing:

  • written consent from the person adopting, the child adopted, and the other
    persons whose consent is necessary;

  • a separate agreement by the person adopting that the child will be treated
    in all respects as the adopter's own; and

  • filing of the consent forms and adopter agreement with the court.

The statute also addresses who appears at the hearing and when the court may
allow another means of appearance or specified representation. Do not replace
that statutory process with a notary block, electronic-signature clause,
private power of attorney, or waiver of all future notice drafted without
case-specific authority and court approval.

Control Verified instruction
Required written consent or consents [________________________________]
Child's separate consent, if over twelve [________________________________]
Adopting person's separate agreement [________________________________]
Required official or court-approved wording [________________________________]
Permitted signing method and authentication [________________________________]
Filing date and responsible filer [________________________________]
Adopter's hearing appearance [________________________________]
Child's hearing appearance [________________________________]
Other necessary consenting persons' appearances [________________________________]
Any court-approved alternative appearance [________________________________]

6. Chapter 25-5A voluntary-termination controls — Route B only

Do not complete this section for a direct Chapter 25-6 consent unless counsel
confirms that a Chapter 25-5A proceeding is also required.

Timing

Child's date and time of birth: [________________________________]

Earliest Chapter 25-5A petition filing date calculated under § 25-5A-4:
[________________________________]

Medical and social history

Before consent to voluntary termination is given, § 25-5A-7.2 requires the
parent to complete the medical and social history form supplied by the
Department of Social Services. Record the form and filing plan:

[____________________________________________________________]

Counseling

Section 25-5A-22 requires a birthparent planning to petition for voluntary
termination to obtain counseling from one of the providers listed there,
including an appropriately experienced licensed child-placement agency, the
Department of Social Services, or an appropriately experienced certified
social worker, licensed counselor, or licensed psychologist.

Provider, qualifications, date, and record: [________________________________]

Section 25-5A-25 says noncompliance with §§ 25-5A-22 through 25-5A-24 may not
be used as a basis to set aside a voluntary termination or adoption. That rule
does not convert counseling into an optional checkbox or authorize a private
waiver.

Hearing and order

Section 25-5A-14 requires the personal presence of one parent for
jurisdictional purposes and states limited conditions for a permitted
telephonic appearance by an incarcerated parent. Obtain a court ruling for any
alternative appearance.

Parent who will personally appear: [________________________________]

Proposed hearing date and court direction: [________________________________]

Parental rights are terminated and transferred through the court order
described in § 25-5A-18, after the statutory findings and process. A signature
on this preparation packet does not terminate rights.

7. Voluntariness, payment, and pressure screen

Section 25-6-4.1 makes it unlawful to compel, coerce, or force a person by any
means to release, sell, place, relinquish, or give up a minor child for
adoption. Section 25-6-4.2 prohibits money, consideration, or things of value
connected with placement, consent, or the adoption petition except court-
approved charges and fees of agencies licensed under Chapter 26-6.

Review item Facts, source, and counsel conclusion
Threat, deadline, pressure, isolation, or promised consequence [________________________________]
Medication, substance, pain, crisis, or impaired judgment [________________________________]
Language, interpreter, disability, or communication need [________________________________]
Independent legal advice and time for review [________________________________]
Every payment, reimbursement, gift, fee, or promise [________________________________]
Court approval for charges and agency-license verification [________________________________]
Unresolved voluntariness or consideration concern [________________________________]

If any concern remains unresolved, stop the signing process and obtain
independent legal and court direction.

8. Indian Child Welfare Act and tribal inquiry

Section 25-6-24 requires due regard to the Indian Child Welfare Act if it
applies. Do not reach a non-applicability conclusion from appearance, surname,
place of residence, family silence, or a prechecked representation.

Inquiry Verified facts and required action
Child, parent, grandparent, or family tribal affiliation or ancestry [________________________________]
Tribe, tribal court, or tribal agency contacted [________________________________]
Federal, tribal, and state requirements verified by counsel [________________________________]
Required notice, consent, testimony, placement, or transfer process [________________________________]

9. Effect and post-adoption issues

Under § 25-6-17, the natural parents are relieved of parental duties and
responsibility “from the time of the adoption.” Do not state that all rights
terminate merely when a consent is signed. Counsel must separately analyze the
statutory exceptions, any proposed pre-adoption agreement, child-support
arrearages, and the effect of a Chapter 25-5A order if that route is used.

Issue Current authority and counsel instruction
Point at which rights and duties change [________________________________]
Existing custody, support, or visitation order [________________________________]
Child-support arrearages [________________________________]
Proposed post-adoption contact or pre-adoption agreement [________________________________]
Name, birth record, inheritance, benefits, or other consequence [________________________________]

10. Operative-document drafting workspace

Counsel should use any current required form or prepare a separate document
accepted by the selected circuit court. This workspace is not a signature
page.

Required element Approved language or attachment
Correct circuit-court caption and case number [________________________________]
Child's legal identity [________________________________]
Signer's identity and legally established status [________________________________]
Identified proposed adoption and adopter or adopters [________________________________]
Statutorily authorized statement of consent [________________________________]
Route-specific disclosures and acknowledgments [________________________________]
Required execution and appearance method [________________________________]
Filing, delivery, and copy instructions [________________________________]
Counsel or agency certification, if required [________________________________]
Court findings or order handled separately [________________________________]

Do not add contract consideration recitals, representations and warranties,
defaults, cure periods, confidentiality covenants, non-interference promises,
specific performance, injunctions, fee shifting, indemnity, liability caps,
forum-selection language, arbitration, jury waiver, entire-agreement terms,
assignability, severability, counterparts, or electronic-signature language
unless current authority and case-specific counsel require the exact term.

11. Final counsel verification

☐ Correct route selected; inconsistent route language removed.

☐ Parentage, custody, every required consent, notice, and any court-waiver
ground investigated.

☐ Child-over-twelve rule applied if relevant.

☐ Circuit-court jurisdiction, one of the three current venue grounds, caption,
and local filing instructions confirmed.

☐ Section 25-6-12 documents, filing, and appearances mapped.

☐ For Route B, five-day petition-filing calculation, history form, counseling,
appearance, notice, findings, and proposed order separately completed.

☐ No invented revocation period or unsupported signing method included.

☐ Coercion, consideration, tribal-child, and special-jurisdiction screens
completed.

☐ Legal effect is tied to the applicable court order or adoption, not merely
to a signature.

Reviewing South Dakota attorney: [________________________________]

Review date: [__/__/____]

Approved operative document or official form: [________________________________]

OFFICIAL SOURCES

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About this template

Last updated
August 21, 2026
Citations checked
August 21, 2026
Jurisdiction
South Dakota
Category
Family Law

Legal authority

  • S.D.C.L. § 25-6-4 (parental consent and court-waiver route)
  • S.D.C.L. § 25-6-4.1 (coercion)
  • S.D.C.L. § 25-6-4.2 (unauthorized consideration)
  • S.D.C.L. § 25-6-5 (consent of child over twelve)
  • S.D.C.L. § 25-6-6 (circuit-court jurisdiction)
  • S.D.C.L. § 25-6-7 (venue)
  • S.D.C.L. § 25-6-12 (written consents, adopter agreement, filing, and appearances)
  • S.D.C.L. § 25-6-17 (effect of adoption)
  • S.D.C.L. § 25-6-24 (Indian Child Welfare Act gate)
  • S.D.C.L. § 25-5A-4 (voluntary-termination petition filing wait)
  • S.D.C.L. § 25-5A-7.2 (medical and social history)
  • S.D.C.L. § 25-5A-14 (parent appearance)
  • S.D.C.L. § 25-5A-18 (termination order)
  • S.D.C.L. § 25-5A-22 (counseling)
  • S.D.C.L. § 25-5A-25 (effect of counseling noncompliance)

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 21, 2026.

S.D.C.L. § 25-6-4 (checked August 21, 2026): "No child may be adopted without the consent of the child's parents. However, if it is in the best interest of the child, the court may waive consent from a parent or putative father who:"

S.D.C.L. § 25-6-4.1 (checked August 21, 2026): "It shall be unlawful to compel, coerce, or force by any means, any person to release, sell, place, relinquish, or give up for adoption any minor child."

S.D.C.L. § 25-6-4.2 (checked August 21, 2026): "Any person who offers, gives, or receives any money or other consideration or thing of value in connection with the placing of any child for adoption, or relating to the consent to adoption, or with the petition for adoption except such charges as are approved by the court and fees charged by agencies licensed pursuant to chapter 26-6, is guilty of a Class 6 felony."

S.D.C.L. § 25-6-5 (checked August 21, 2026): "The consent of the child, if over the age of twelve years, is necessary to its adoption."

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