Consent Of Parent To A Private Agency Guardianship {DR-99}

CC-DR-099 - CONSENT OF PARENT TO A PRIVATE AGENCY GUARDIANSHIP (FORM 9-102.1). This form is used in the Maryland Circuit Court when a parent agrees to terminate their parental rights and consent to a licensed private adoption agency becoming the legal guardian of their child, with the authority to consent to the child's adoption. This form is part of the legal process for private agency adoptions under Maryland’s Family Law Article, Title 5, Subtitle 3A. It ensures that the parent understands the permanent legal consequences of their decision, including relinquishing all parental rights and responsibilities, except for any rights preserved in a written post-adoption agreement. The form includes detailed instructions regarding the parent’s rights—such as the right to have the form translated, to consult with a lawyer, to revoke consent within 30 days, and to be notified about the adoption process if they choose. It also allows the parent to provide either general or conditional consent (e.g., only if the child is adopted by a specific family) and addresses special protections under the Indian Child Welfare Act. The parent must sign the form in front of a witness and may also authorize access to medical and mental health records. www.FormsWorkflow.com