Form 10-542. Order accepting relinquishment of parental rights and consent to adoption.

STATE OF NEW MEXICO COUNTY OF _______________ ________________ JUDICIAL DISTRICT IN THE CHILDREN’S COURT No. __________ STATE OF NEW MEXICO ex rel. CHILDREN, YOUTH AND FAMILIES DEPARTMENT In the Matter of _____________, a Child, and Concerning ______________________, Respondent(s). ORDER ACCEPTING RELINQUISHMENT OF PARENTAL RIGHTS AND CONSENT TO ADOPTION THIS MATTER, having come before the Court on ______________________ (insert date) before the Honorable ______________________ (name of Judge), at the ______________________ (indicate judicial district) Judicial District Court, State of New Mexico, ______________________ (name of individual relinquishing parental rights) did personally appear with counsel. This Court makes the following findings: 1. I am an official authorized to accept this “Voluntary Relinquishment of Parental Rights and Consent to Adoption” under Section 32A-5-23 NMSA 1978 [and 25 U.S.C. § 1913(a)].1 2. This relinquishment is made in contemplation of the child’s adoption. [Or: This relinquishment is not made in contemplation of adoption, and this Court has found that good cause exists, the New Mexico Children, Youth and Families Department has made reasonable efforts to preserve the family, and that relinquishment of parental rights is in the child’s best interests.] 3. ______________________ (name of individual relinquishing parental rights) was advised that he/she remains financially responsible for the child until the adoption is finalized, and this Court may order this Respondent to pay the reasonable costs of support and maintenance for the child. 4. ______________________ (name of individual relinquishing parental rights) was advised that the child is in the legal custody of the New Mexico Children, Youth and Families Department, which has responsibility for caring for the child and will retain legal custody until the adoption is final. 5. ______________________ (name of individual relinquishing parental rights) was advised of his/her right to be counseled, and was counseled by ______________________ (name of person providing relinquishment counseling, include agency name and licensure), a certified counselor. This counselor meets the requirements set forth in Section 32A-5-22 NMSA 1978 and 8.26.3.25 B(1) NMAC. [Or: There is good cause to waive the relinquishment counseling requirement.] 6. ______________________ (name of individual relinquishing parental rights) was advised of the rights and responsibilities of a parent to a child, and was advised of the legal consequences of voluntary relinquishment and consent to adoption by ______________________ (attorney for individual relinquishing parental rights or judge). 7. ______________________ (name of individual relinquishing parental rights) was advised that no informal agreements will be enforced by the Court, but where a post-adoption contact agreement has been included in the final decree of adoption, the court will enforce the post-adoption contact agreement. 8. ______________________ (name of individual relinquishing parental rights) was advised that this voluntary relinquishment of parental rights and consent to adoption is final. [Or, if ICWA applies to the child: Pursuant to 25 U.S.C. § 1913(c) (1978) and 25 C.F.R. § 23.128 (2016), ______________________ (name of individual relinquishing parental rights) was advised that this voluntary relinquishment of parental rights and consent to adoption is final, but may be withdrawn for any reason at any time before the entry of a final decree of termination of parental rights or adoption.]2 9. [In cases where the consent or relinquishment is in English and English is not the first language of the individual relinquishing parental rights: Under Section 32A- 5-21(c) NMS 1978, I certify that the relinquishment form has been read and explained to ______________________ (name of individual relinquishing parental rights) in that person's first language by ______________________ (name of individual who read the form in the first language of the individual relinquishing parental rights) and that the meaning and implications of the document are fully understood by the person giving the relinquishment.] 10. [If ICWA applies: Under the Indian Child Welfare Act, 25 U.S.C. § 1913(a), I certify that the terms and consequences of the relinquishment of parental rights and consent to adoption were fully explained in detail and were fully understood by the parent or Indian custodian. I further certify that the parent or Indian custodian fully understood the explanation in English or that it was interpreted into a language that the parent or Indian custodian understood.]3 11.___________________ (name of individual relinquishing parental rights) is entering into an unconditional relinquishment of their parental rights to ________________ (name of child). [Or, if relinquishment is conditional: ____________________ (name of individual relinquishing parental rights) is entering into a conditional relinquishment of their parental rights to ________________ (name of child) under the following conditions: ________________________________________. The conditions under this relinquishment are for good cause and are approved and permitted by this court. All conditions permitted shall be met within 180 days of the execution of the conditional relinquishment or the conclusion of any litigation concerning the petition for adoption. The court may grant an extension of this time for good cause.] 12. The Voluntary Relinquishment of Parental Rights and Consent to Adoption by ______________________ (name of individual relinquishing parental rights) to ______________________ (name of child) was executed voluntarily and with knowledge of its content and legal effect, and not the result of force, threats, promises, fraud, or duress. ON THE BASIS OF THESE FINDINGS, THE COURT concludes that ______________________ (name of individual relinquishing parental rights) knowingly, voluntarily, and intelligently relinquishes his/her rights to ______________________ (name of child), and accepts the relinquishment of parental rights and consent to adoption. ____________________________________ Children’s Court Judge