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South Carolina · Birth

South Carolina Biological Parent's Consent and Contact Preference Form (4020-ENG-DPH)

Official state formAdoptionForm 4020-ENG-DPHFree downloadLast verified November 10, 2026

A biological parent uses this form to consent, or decline to consent, to the release of the adoptee's original birth certificate and sealed file, and to state a contact preference. It is sent to the Vital Records Section with Form 4022.

Who can use this form

  • A biological parent of the adoptee completes and signs this form
  • The parent marks birth mother or father / second parent
  • The form is not notarized

What to send with it

  • This form, completed and signed
  • The request form (Form 4022), which the office's website says to send with it
  • A photocopy of photo ID and the fee, as Form 4022 requires
  • The child's name, date and place of birth exactly as on the original birth certificate

Where to send it

Mail to
See the form for where to file it.
State fee
Not printed on the form. The office's website lists a $27 non-refundable processing fee ($12 search fee plus $15 special filing fee) for the biological parent's request package.
Typical processing
Not provided
Form revision
07/2024
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South Carolina Biological Parent's Consent and Contact Preference Form (4020-ENG-DPH) | South Carolina Form