(A) The department of job and family services shall prescribe a biological parent's name redaction request form. The form shall include all of the following:

1. (1) Information about the procedures and requirements for a biological parent to do either of the following:

   1. (a) Have the form placed in the adoption file of the biological parent's offspring so that the biological parent's name is redacted from a copy of the contents of the adoption file that a person receives under section 3107.38 of the Revised Code;
   2. (b) Have the form removed from the adoption file if the biological parent later decides to permit the biological parent's name to be included in a copy of the contents of the adoption file that a person receives under section 3107.38 of the Revised Code.
2. (2) Provisions necessary for the department of health to be able to identify the adoption file of the adopted person to whom the form pertains;
3. (3) A place for the biological parent to attest that the biological parent is the biological parent of the adopted person to whom the form pertains.

(C)

1. (1) Until one year after the effective date of this section, the department of health shall make a biological parent's name redaction request form available to a biological parent on request. The department may accept a completed biological parent's name redaction request form only if all of the following apply:

   1. (a) The form is submitted to the department not later than one year after the effective date of this section.
   2. (b) The form has been notarized.
   3. (c) The biological parent provides the department two items of identification of the biological parent.

   4. (d) If a social and medical history for the biological parent was not previously prepared or such a history was prepared but should be corrected or expanded, the biological parent does the following as appropriate:

      1. (i) Completes a social and medical history form in accordance with section 3107.091 or 3107.393 of the Revised Code;
      2. (ii) Corrects or expands the biological parent's social and medical history in accordance with division (D) of section 3107.09 of the Revised Code.
   5. (e) The department is satisfied that the form has been substantially completed.
2. (2) If the department determines that it may accept the biological parent's name redaction request form, it shall accept the form. As soon as the department identifies the adoption file of the adopted person to whom the form pertains, it shall place the form in that file.

(D)

1. (1) A biological parent who has a biological parent's name redaction request form accepted under division (C) of this section may request at any time that the department remove the form from the adoption file of the adopted person to whom the form pertains. The department shall remove the form from the adoption file if the biological parent provides the department all of the following:

   1. (a) Two items of identification of the biological parent;
   2. (b) Information the department needs to be able to identify the adoption file of the adopted person to whom the form pertains;
   3. (c) A notarized attestation that the biological parent is the biological parent of the adopted person to whom the form pertains.
2. (2) When the department removes a biological parent's name redaction request form from an adoption file under division (D)(1) of this section, the department shall destroy the form.