Indiana Code - Family Law and Juvenile Law - Title 31, Section 31-19-4.5-3

Form of adoption notice

Sec. 3. Notice of the adoption proceeding shall be given to a
person entitled to notice under section 2 of this chapter in
substantially the following form:

"NOTICE OF ADOPTION
________ (person's name) is notified that a petition for adoption
of a child, named __________ (child's name, if named), born to
__________ (mother's name) on __________ (date) was filed in the
office of the clerk of __________ court, __________ (address of the
court). The petition for adoption alleges that the consent to adoption
of __________ (person's name) is not required because
_________________________ (provide a brief description of the
reason(s) the consent is not required).

If __________ (person's name) seeks to contest the adoption of
the child, __________ (person's name) must file a motion to contest
the adoption in accordance with IC 31-19-10-1 in the above named
court not later than thirty (30) days after the date of service of this
notice.

If __________ (person's name) does not file a motion to contest
the adoption within thirty (30) days after service of this notice the
above named court will hear and determine the petition for adoption.
The consent to adoption of __________ (person's name) will be
irrevocably implied and __________ (person's name) will lose the

right to contest either the adoption or the validity of __________'s
(person's name) implied consent to the adoption.

No oral statement made to __________ (person's name) relieves
__________ (person's name) of __________'s (person's name)
obligations under this notice.

This notice complies with IC 31-19-4.5-3 but does not
exhaustively set forth a person's legal obligations under the Indiana
adoption statutes. A person being served with this notice should
consult the Indiana adoption statutes.".

As added by P.L.61-2003, SEC.10.

Last modified: May 24, 2006