A surrogate mother is a woman who carries and gives birth to the child of another woman, who is usually infertile, by way of a pre-arranged legal contract. There are several types of surrogacy. In the gestational surrogacy program, the client family creates embryos via the In Vitro Fertilization process. The client husbands sperm and the client wifes eggs are utilized to create these embryos. These embryos are implanted into the uterus of the surrogate mother. The surrogate mother, who is not genetically related to the child in any way, carries the child on behalf of the client family. Gestational Surrogacy using an egg donor is identical to the gestational surrogacy program. However, another woman donates the eggs used in In Vitro Fertilization.
This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.