Oklahoma Code § 10-7503-2.4

Title 10. Children: Contents of consent to adoption
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A.  A consent to an adoption of a minor shall be in writing,
recorded by a court reporter, and executed before a judge of the
district court in this state and contain:
1.  The date, place, and time of the execution of the consent;
2.  The name and date of birth of the person executing the
consent;
3.  The current mailing address, telephone number, and social
security number of the person executing the consent; and
4.  Instructions that the consent is irrevocable, except upon
the specific grounds specified in Section 7503-2.7 of this title,
upon which the consent can be revoked and the manner in which a
motion to set aside the consent must be filed.
B.  A consent must state:

1.  That the person executing the document is voluntarily and
unequivocally consenting to the adoption of the minor;
2.  An understanding that after the consent is executed, it is
final and, except for fraud or duress, may not be revoked or set
aside for any reason except as otherwise authorized by the Oklahoma
Adoption Code;
3.  That the person executing the consent is represented by
counsel or has waived any right to counsel;
4.  That the execution of the consent does not terminate any
duty of the person executing the consent to support the mother or
the minor until the adoption is completed;
5.  That the person executing the consent has not received or
been promised any money or anything of value for the consent, except
for payments authorized by law;
6.  Whether the individual executing the consent is a member of
an Indian tribe and whether the minor is eligible for membership or
the child is a member of an Indian tribe;
7.  That the person believes the adoption of the minor is in the
minor's best interest; and
8.  That the person executing the consent has been advised that
an adult adopted person born in Oklahoma, whose decree of adoption
is finalized after November 1, 1997, may obtain a copy of such
person's original certificate of birth unless affidavits of
nondisclosure have been filed pursuant to Section 7503-2.5 of this
title and that the consenting parent may file an affidavit of
nondisclosure.
C.  Before executing a consent, a minor twelve (12) years of age
or older must have been informed by the court of the meaning and
consequences of the adoption and the availability of social and
medical history information, pursuant to Section 7504-1.2 of this
title, when the minor turns eighteen (18) years of age.
D.  When it appears to the court that the parent or guardian
executing a consent desires counsel but is indigent and cannot for
that reason employ counsel, the court shall appoint counsel.  In all
counties having county indigent defenders, the county indigent
defenders shall assume the duties of representation in such
proceedings.
E.  The transcript of the court proceedings pursuant to this
section shall be placed in the court record.
F.  Except as otherwise provided by subsection K of this
section, verification of the court shall be in substantially the
following form:
I, _______________, Judge of the District Court in and for
__________ County, State of Oklahoma, a Court having original
adoption jurisdiction, do hereby certify, that upon this day,
__________ personally appeared in open Court, before me, and orally

and in writing executed the above and foregoing Appearance and
Consent to Adoption.
In executing this acknowledgement, I further certify that the
said ___________ acknowledged that the person executed said consent
to adoption freely and voluntarily, and that it was explained to
such person by or before me, the undersigned Judge of the District
Court, that in executing the consent the person was surrendering all
parental authority whatsoever over the minor; and that with such
explanation made to the consenting person by or before me, the
undersigned Judge of the District Court, the person executed the
consent, freely, voluntarily and intelligently for all uses and
purposes therein set forth.
I further certify that it was explained to the consenting person
that this consent is irrevocable and final except for fraud or
duress and may not be revoked or set aside except and unless no
Petition to Adopt is filed within nine (9) months after placement of
the minor or if this or some other court decides not to terminate
the rights of the other parent of the minor.  I further certify that
I am satisfied that the consenting person understands the
consequences of an adoption; the consenting person has represented
that such person has not received or been promised any money or
anything of value for the giving of consent except for those
payments authorized by law; the consenting person has represented
that such person is not under the influence of alcohol or medication
or other substance that affects the person's competence; the parent
fully understood the English language and communicated in the
English language at all times during said hearing, or all
information was translated into the consenting person's language,
and was fully understood by the person; and if the consenting person
was the biological parent, such parent was advised regarding the
affidavit of nondisclosure.
G.  A consent may be signed before any judge of a court having
probate or adoption jurisdiction in this state or in the state of
residence of the person executing the consent.
H. 1. a. If an individual whose consent is necessary resides in
a country or place other than the United States of
America, other than a member of the United States
Armed Services stationed abroad, the consent of the
individual to the adoption may be obtained by a
written instrument signed by such person and
acknowledged before an officer of the legal
subdivision of the government of the place of such
person's residence who is authorized to administer
oaths under the laws of such country or place.
b. If the foreign country's government does not involve
itself in adoption matters, the consent may be
executed before an officer of the Judge Advocate

General's Office of the United States Armed Services
or before an officer of the United States Embassy
located in that country, provided the execution of
such consent is not a violation of the laws of the
foreign country, or a violation of international law
or treaty between the foreign country's government and
the United States.  The consent shall reflect that the
consent is not given or accepted in violation of the
laws of the foreign country or in violation of
international law or treaty between such foreign
country's government and the United States.
2.  If an individual whose consent is necessary is a member of
the United States Armed Services stationed in a country or place
other than the United States, the individual's consent may be
acknowledged before an officer of the Judge Advocate General's
Office or other legal officer possessing the authority to administer
oaths.
I.  If the written instrument containing a consent to adoption
is written in a language other than the English language, the
petitioner must have it translated into the English language by a
qualified translator, and must file the original instrument together
with the translation with the court.  The translation must be sworn
to as being a true and correct translation by the person translating
the document.
J.  Except as otherwise required by subsection H of this
section, when the person whose consent is or may be required resides
outside of Oklahoma, the consent to adoption by such person may be
executed in that state or country in the manner set forth in the
Oklahoma Adoption Code or in the manner prescribed by the laws of
the state or country of such person's residence.
K.  1.  When the person whose consent is required is the
Director or designee of the Department of Human Services for minors
in the custody of the Department of Human Services, the contents of
the consent need only contain the full name of the person executing
the consent, that the person executing the consent is duly
authorized by the Director to consent to the adoption, the full name
of the child being adopted, and the names and addresses of adoptive
petitioners.
2.  The verification of the court shall be in substantially the
following form:
I, _______________, Judge of the District Court in and for
__________ County, State of Oklahoma, a Court having original
adoption jurisdiction, do hereby certify, that upon this day,
__________ personally appeared in open Court, before me, and orally
and in writing executed the above and foregoing Appearance and
Consent to Adoption.

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