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Signature of parent ....
Date ....
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Parent's name printed ....
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Parent's address ....
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Parent's telephone number ....
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Parent's e-mail address ....
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WITNESSING OF SIGNATURE(S) (OPTIONAL)
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State of ....
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County of ....
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This document was signed before me on .... (date) by .... (name(s) of parent(s)).
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Signature of notary ....
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My commission expires: ....
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1STATEMENT OF AGENT
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I, .... (name and address of agent), understand that .... (name(s) of parent(s)) has
3(have) delegated to me the powers specified in this Power of Attorney regarding the
4care and custody of .... (name(s) of child(ren)). I further understand that this Power
5of Attorney may be revoked in writing at any time by a parent who has legal custody
6of .... (name(s) of child(ren)). I hereby declare that I have read this Power of Attorney,
7understand the powers delegated to me by this Power of Attorney, am fit, willing, and
8able to undertake those powers, and accept those powers.
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Agent's signature ....
Date ....
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(
Here the parent(s) may indicate where they may be located during the term of
12the Power of Attorney if different from the address(es) set forth above.)
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.... I can be located at:
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Address(es) ....
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Telephone number(s) ....
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E-mail address(es) ....
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.... Or, by contacting:
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Address ....
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Telephone number ....
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E-mail address ....
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.... Or, I cannot be located
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23Section
11. 948.25 of the statutes is created to read:
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24948.25 Unauthorized interstate placements of children. (1) Any person
25who sends a child out of this state, brings a child into this state, or causes a child to
1be sent out of this state or brought into this state for the purpose of permanently
2transferring physical custody of the child to a person who is not a relative of the child
3is guilty of a Class A misdemeanor.
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4(2) Subsection (1) does not apply to any of the following:
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(a) A placement of a child that is authorized under s. 48.98, 48.988, or 48.99.
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(b) A placement of a child that is approved by a court of competent jurisdiction
7of the sending state or receiving state.
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8Section
12.
Nonstatutory provisions.
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(1)
Study of adoption disruption and dissolution. The joint legislative council
10is requested to study adoption disruption and dissolution in this state. If the joint
11legislative council undertakes such a study, the joint legislative council shall do all
12of the following:
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(a) Study the extent of adoption disruption and dissolution in this state and the
14efforts by the department of children and families, counties, and child welfare
15agencies to prevent such disruption and dissolution.
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(b) Recommend legislation to accomplish all of the following:
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171. Define adoption disruption and adoption dissolution.
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182. Prevent adoption disruption and adoption dissolution in this state.
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193. Require the department of children and families, county departments of
20human services or social services that are authorized to place children for adoption,
21and child welfare agencies that are licensed to place children for adoption to track
22and report on disrupted or dissolved adoptions.
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(c) Consider legislative options to prepare prospective adoptive parents for
24adoption and to support adoptive parents after an adoption.
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1(d) Submit its findings, conclusions, and recommendations to the 2015
2legislature when it commences.
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3Section
13.
Initial applicability.
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(1)
Advertising related to adoption or other permanent physical placements
5of a child. The treatment of section 48.825 (1) (a), (2) (a), (b), and (c), and (3) (a) and
6(e) of the statutes first applies to advertising placed or posted on the effective date
7of this subsection.