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1. Declaration Header: Title of document, date, and location of execution
2. Parties: Full legal names and details of the consenting party/parties (birth parent(s)), child's details, and adopting party details if known
3. Background: Brief context about the child and the reason for adoption consent
4. Definitions: Key terms used in the document defined for clarity
5. Legal Capacity Declaration: Declaration of the consenting party's legal capacity to give consent
6. Counseling Confirmation: Confirmation that mandatory counseling has been received regarding the effects and consequences of adoption
7. Consent Statement: Clear and unambiguous statement of consent to the adoption
8. Rights Understanding: Acknowledgment of understanding regarding the legal effects of adoption
9. Revocation Period: Information about the right to revoke consent and the applicable time period
10. Signatures: Space for signatures of consenting party/parties, witnesses, and notary
1. International Adoption Provisions: Additional provisions required for international adoptions
2. Special Conditions: Any specific conditions or wishes expressed by the consenting party
3. Contact Arrangements: Optional arrangements for future contact between birth parent(s) and child
4. Cultural Considerations: Specific provisions regarding maintaining cultural or religious connections
5. Medical History Release: Authorization to release medical history information to adopting parents
1. Schedule A - Identity Documents: Copies of identification documents of consenting party/parties
2. Schedule B - Counseling Certificate: Certificate confirming completion of mandatory adoption counseling
3. Schedule C - Child's Birth Certificate: Copy of the child's original birth certificate
4. Schedule D - Medical Records: Relevant medical information about the child
5. Schedule E - Social Worker Report: Report from social services regarding the adoption circumstances
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Public Administration
Healthcare
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Social Services
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Document Processing
Child Welfare
Adoption Services
Court Administration
Compliance
Client Services
Family Law Attorney
Adoption Lawyer
Social Worker
Child Welfare Officer
Legal Administrator
Court Clerk
Notary Public
Family Services Coordinator
Adoption Counselor
Legal Document Specialist
Family Court Judge
Child Protection Specialist
Legal Compliance Officer
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