Or. Rev. Stat. § 109.410
(1) The clerk of the court having custody of the adoption file shall issue upon request a certificate of adoption to the adopted person, the adoptive parents or parent, their attorney of record, in the proceeding, or to any child-placing agency which gave consent to the adoption. The certificate shall be substantially in the following form:
CERTIFICATE OF ADOPTION
IN THE ________ COURT
OF THE STATE OF OREGON
FOR THE COUNTY OF
In the Matter of the Adoption of:
File No.___________
Name after Adoption
This is to certify that on the ___ day of ________, 2___, a Judgment of Adoption was granted by the Honorable Judge ____________ granting the adoption of the above-named person by _________________.
The adopted person, above named, was born in the City of
___________, County of ________, State of ________, on the __ day of _____, 2__.
Dated at ________, Oregon, this __ day of ___, 2__.
(Title of the Clerk of the Court)
(SEAL) By _______________
Deputy
[1979 c.397 §2; 1985 c.496 §24; 2003 c.576 §157; 2015 c.512 §2; 2025 c.592 §127]