Termination Hearing Order STATE OF ILLINOIS COUNTY OF COOK ss: IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION CHILD PROTECTION DIVISION IN THE INTEREST OF Print Form Clear Form (Rev. 12/06/10) CCJP 0611 A 4800 NO. _____________________________________ _________________________________________________________________ Minor(s) TERMINATION HEARING ORDER THIS CAUSE coming to be heard pursuant to a (Petition/Motion) to Terminate Parental Rights and Appoint a Guardian with the Right to Consent to Adoption, all parties present or being represented by counsel, the foster parents having been duly notified of the proceedings and the Court being fully advised in the premises: THE COURT FINDS: 1. 2. The minor has received notice of these proceedings and has been personally represented by _______________________________, whose address is ____________________________________________, and telephone # is (________) ______________________. The minor has: a. been found (neglected/abused/dependent) on _______________________, _________. b. been adjudged a ward of the Court on _________________________, _________. THE COURT FINDS AS TO MOTHER: 3. The mother, ___________________________________________________, a. has appeared in this cause and has been personally represented by __________________________________________________, whose address is _____________________________________________________________________________, and telephone number is (________) ______________________________. b. has been defaulted through (personal service/certified mail/publication/substitute service __________________________ _______________________________________________________) on ______________________________, _________. c. has waived notice. 7130 d. is deceased. 4. The mother: 7153 a. by clear and convincing evidence, is unfit pursuant to 705 ILCS 405/2-29 and 750 ILCS 50/1(D), on the following specific grounds: _________________________________________________________________________________________ ___________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ b. general consent (has voluntarily consented on _______________________________, ________ to the adoption of the named minor.) 7151 c. has voluntarily and irrevocably surrendered the minor on _________________________________, __________, to a duly authorized child welfare agency for the purpose of relinquishing parental rights and placing the minor for adoption; 7172 d. has voluntarily consented on _________________________________, ________ to the adoption of the named minor by __________________________________________________________________________________. 5. It is in the best interest of the minor to terminate mother's parental rights. It is not in the best interest of the minor to terminate mother's parental rights. THE COURT ORDERS AS TO THE MOTHER: 5721 a. The (petition/motion) for termination of parental rights is denied as to the mother. 4722 b. The parental rights of the mother are involuntarily terminated based on the above finding of unfitness and the best interest of the minor. 4714 Appeal rights given to mother. 7202 Mother is not present in court. c. The parental rights of the mother are terminated based on her voluntary consent to adoption or surrender and the best interest of the child. d. Parental rights of the mother are not affected by this order. e. The mother is deceased. DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS (Rev. 12/06/10) CCJP 0611 B THE COURT FINDS AS TO THE FATHER: 6. The (legal/putative) father, __________________________________________________, (check all that apply): 7134 b. is deceased. a. having duly acknowledged paternity or the Court having found paternity on _______________________________________. c. has appeared in this cause and has been personally represented by __________________________________________________, whose address is _____________________________________________________________________________________, and telephone number is (________) ______________________________. d. has been defaulted through (personal service/certified mail/publication/substitute service ____________________________ _____________________________________________________) on _______________________________, __________. e. has waived notice. 7175 f. has voluntarily consented on _____________________________, _________ to the adoption of the named minor by ________________________________________________. 7154 g. has voluntarily and irrevocably surrendered the minor on ____________________________, _________, to a duly authorized child welfare agency for the purpose of relinquishing parental rights and placing the minor for adoption. 7156 h. by clear and convincing evidence is unfit pursuant to 705 ILCS 405/2-29 and 705 ILCS 50/1 (D), on the following specific grounds: ________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________; 7. The (putative/unknown/all whom it may concern) father, _________________________________________, (check all that apply): a. has been defaulted through (personal service/certified mail/publication/substitute service ____________________________ 7156 b. by clear and convincing evidence is unfit pursuant to 705 ILCS 405/2-29 and 705 ILCS 50/1 (D), on the following specific grounds: ________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________; 8. It is in the best interest of the minor to terminate father's parental rights. It is not in the best interest of the minor to terminate father's parental rights. THE COURT ORDERS AS TO THE FATHER: 5722 c. Th