Presumed Fathers Consent To Adoption (In California) {AD 165}

AD 165 - PRESUMED FATHER’S CONSENT TO ADOPTION WHEN DENYING HE IS THE BIOLOGICAL FATHER (In or Out-of-California). This is a California Department of Social Services form used in adoption proceedings when a man identified as the presumed father declares he is not the biological father and consents to the child’s adoption. The form documents the father’s voluntary and informed consent, including acknowledgment that parental rights—such as custody and decision-making—will be permanently terminated upon the court’s final adoption order. It also explains the limited right to revoke consent within 30 days, unless waived. The form must be witnessed by an authorized representative if signed in California, or notarized if signed outside the state. It is filed as part of the official adoption record. www.FormsWorkflow.com