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NJ DCF Logo with reverse copy

 

New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date: 8-22-2007

Volume:

X

Forms

Chapter:

A

Forms

Revised Date: 2-4-2019

Subchapter:

1

Forms

Issuance:

14.86a

CP&P Form 14-86a, Affidavit of Surrendering Parent

 

Click here to view or print the CP&P Form 14-86a, Affidavit of Surrendering Parent.

 

Click here to view or print this form in Spanish, CP&P Form 14-86a(S), Affidavit of Surrendering Parent. 

 

WHEN TO USE IT

 

This form, CP&P Form 14-86a, Affidavit of Surrendering Parent, along with CP&P Form 14-86, Surrender of Custody and Consent for Adoption, are the legal documents used to transfer custody of a child from the parents to CP&P with the intent that the child be placed for adoption.

 

HOW TO USE IT

 

      Access it through the Create > Casework > Court/Legal > Options Drop-down.

 

      Only complete this template outside of the NJ Spirit application as part of a contingency plan when the application is unavailable. However, in doing so, you are still required to create the form in NJ Spirit when the application becomes available.

 

      Print the form for approval and signatures, as explained.

 

TIPS FOR COMPLETING THE FORM

 

CP&P Form 14-86a is now a template to be completed in NJ SPIRIT. Prepare the form in quadruplicate. The Worker fully explains the meaning of the surrendering parent's signature on the form. See CP&P-IV-C-1-400 for policy and procedures regarding the surrender process. The Worker reads the affidavit aloud to the surrendering parent, who reads along from another copy. The Worker interviews the parent, and makes entries into the template to reflect the parent's responses.

 

After discussing the affidavit with the parent and having no doubts about his or her competency to understand the surrender or his or her willingness to sign the affidavit, the parent signs the form. The Supervisor then completes the Affidavit of Local Office Supervisor section of the form.

 

DISTRIBUTION

 

Original and one copy         -           Court

 

Copy                                       -           Deputy Attorney General

 

Copy                                       -           Parent

 

Copy                                       -           Case Record

 

Electronic copy                     -           NJ SPIRIT Electronic Case Record