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Gestational Surrogacy Agreement Comprehensive gestational surrogacy agreement covering medical procedures, parental rights, compensation, medical decision authority, and ESIGN-compliant dual-signature authorization for intended parent(s) and surrogate.
📄 2 signers 📅 30-day expiry 🏷 Healthcare & Wellness 🔖 surrogacy, fertility, reproductive-law
About this template The Gestational Surrogacy Agreement is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 2 signers (intended parent and surrogate) and, by default, expires 30 days after it is sent if left unsigned. It covers surrogacy, fertility, reproductive law. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
Document Preview # Gestational Surrogacy Agreement **Date of Agreement:** {{autodate:intended_parent_signed_date}} **Fertility Clinic / Coordinating Clinic:** ___________ **Surrogacy Agency (if applicable):** ___________ --- ## Section 1 — Parties ### Intended Parent(s) **Full Legal Name:** ___________ **Date of Birth:** ___________ **Address:** ___________ **City, State, ZIP:** ___________ **Phone:** ___________ **Email:** ___________ **Marital Status:** ___________ **Second Intended Parent (if applicable) — Full Legal Name:** ___________ **Second Intended Parent — Date of Birth:** ___________ **Second Intended Parent — Email:** ___________ **Legal Counsel for Intended Parent(s):** ___________ ### Surrogate (Gestational Carrier) **Full Legal Name:** ___________
Fields (51) clinic name
text · required
ip full name
text · required
ip address
textarea · required
ip city state zip
text · required
ip marital status
select · required
surrogate full name
text · required
surrogate dob
date · required
surrogate address
textarea · required
surrogate city state zip
text · required
surrogate phone
phone · required
surrogate email
email · required
surrogate marital status
select · required
surrogate spouse name
text
surrogate counsel info
text
egg source
select · required
sperm source
select · required
surrogate risk ack
radio · required
birth state
select · required
surrogate attorney name
text
max embryos
select · required
selective reduction policy
select · required
termination anomaly
select · required
base compensation
currency · required
payment schedule
select · required
clothing allowance max
number
travel distance miles
number
life insurance amount
number
monthly expense allowance
currency
multiple gestation bonus
currency
invasive testing bonus
currency
cancelled cycle fee
currency
escrow fund amount
number · required
escrow provider
text · required
insurance arrangement
select · required
life insurance min
number · required
arbitration location
text · required
governing state
select · required
ip printed name
text · required
surrogate printed name
text · required
Send this template with cryptographic proof Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package sealed in WORM storage.