Affidavit of Parentage Instructions
This form contains 43 fields organized into 13 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Affiant and Child Identification | ||
| Affiant Name | Text |
Please enter the full name of the person making this affidavit.
|
| Child's Name | Text |
Please enter the full name of the child mentioned in this affidavit.
|
| Affiant's Age | ||
| Affiant's Age | Number |
Please provide your current age in years.
|
| Affidavit Explanation Witness | ||
| Witness Name | Text |
Enter the name of the person who explained the affidavit.
|
| Biological Father Identification Details | ||
| Biological Father's Name | Text |
Enter the full name of the biological father. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Biological Father's Home Address | Text |
Enter the last known home address of the biological father. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Biological Father's Work Address | Text |
Enter the last known work address of the biological father, including the name of the employer if known. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Biological Father's Age | Text |
Enter the current age of the biological father in years. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Date of Death - Day | Text |
Enter the day of the month on which the biological father died. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Date of Death - Year | Text |
Enter the year in which the biological father died. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Place of Death - City/Town | Text |
Enter the city or town where the biological father died. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Place of Death - County/Specific Location | Text |
Enter the specific location or county where the biological father died, if applicable. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Place of Death - State | Text |
Enter the state where the biological father died. Fill only if 'Know and identify biological father' is 'Yes'.
Depends on:
Know and identify biological father
|
| Biological Father's Physical Description | ||
| Race | Text |
Please enter the biological father's race.
|
| Mustache/Beard | Text |
Please enter if the biological father has a mustache or beard, and describe it.
|
| Hair | Text |
Please enter the biological father's hair color, style, or other distinguishing characteristics.
|
| Complexion | Text |
Please enter the biological father's skin complexion.
|
| Height | Text |
Please enter the biological father's height.
|
| Weight | Number |
Please enter the biological father's weight.
|
| Glasses | Text |
Please enter if the biological father wears glasses, and describe them if known.
|
| Other Distinguishing Marks | Text |
Please enter any other distinguishing physical characteristics of the biological father.
|
| Tattoos/Scars | Text |
Please describe any tattoos or scars the biological father has, including their type and location on the body.
|
| Child's Birth Information | ||
| Child's Name | Text |
Provide the full name of the child.
|
| Date of Birth | Date |
Enter the date the child was born.
|
| Birth City | Text |
Enter the city where the child was born.
|
| Time of Birth | Time |
Enter the time the child was born.
|
| Hospital Name | Text |
Provide the full name of the hospital where the child was born.
|
| Birth State | Text |
Enter the state where the child was born.
|
| Child's Gender | ||
| Male | Checkbox |
Check this box if the child is male.
|
| Female | Checkbox |
Check this box if the child is female.
|
| Explanation for Inability to Identify Father | ||
| Explanation for Inability to Identify Father | Text |
Provide a detailed explanation for why you are unable to identify the biological father. Fill only if 'Do not know biological father's identity' is 'Yes'.
Depends on:
Do not know biological father's identity
|
| Father Identification Choice | ||
| Know and identify biological father | Checkbox |
Check this box if you know and are identifying the biological father.
|
| Do not know biological father's identity | Checkbox |
Check this box if you do not know the identity of the biological father.
|
| Unwilling to identify biological father | Checkbox |
Check this box if you are unwilling to identify the biological father.
|
| General | ||
| Text27 | Text | |
| Text28 | Text | |
| Reason for Unwillingness to Name Father | ||
| Reason for Unwillingness | Text |
Provide the reason(s) why you do not wish to name the biological father of the child. Fill only if 'Unwilling to identify biological father' is 'Yes'.
Depends on:
Unwilling to identify biological father
|
| Residence Information | ||
| Street Address | Text |
Please provide the street address where you currently reside.
|
| City or Village | Text |
Please provide the name of the city or village where you reside.
|
| State | Text |
Please provide the name of the state where you reside.
|
| Signature Date | ||
| Signature Date Month | Date |
Enter the month of the signature date.
|
| Signature Date Day | Date |
Enter the day of the signature date.
|
| Signature Date Year | Date |
Enter the year of the signature date.
|