Georgia Department of Health Paternity Acknowledgement Form

This file is a Paternity Acknowledgement form from the Georgia Department of Public Health. It is used to establish the father and child relationship and add the father's name to the child's birth record. The form must be completed, signed, and notarized before submission.

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How do I fill this out?

To fill out this form, you need to provide accurate information about both parents and the child. You must sign the form in the presence of a notary public and submit the completed form to the State Office of Vital Records. Ensure that all required fields are filled in correctly to avoid rejection.

How to fill out the Georgia Department of Health Paternity Acknowledgement Form?

1
Obtain the Paternity Acknowledgement form from the Georgia Department of Public Health.
2
Fill in the child's and parents' information accurately using black or blue ink.
3
Both parents must sign the form in the presence of a notary public.
4
Ensure that the form is notarized with the required seal.
5
Submit the completed form and payment (if applicable) to the State Office of Vital Records.

Who needs the Georgia Department of Health Paternity Acknowledgement Form?

1
Unmarried mothers who want to add the biological father's name to the child's birth certificate.
2
Biological fathers who want to establish legal paternity and be listed on the child's birth record.
3
Parents seeking to change the child's name within the first year of birth.
4
Unwed parents under the age of 18 who need to acknowledge paternity without parental consent.
5
Legal representatives assisting clients in establishing paternity and amending birth records.

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What are the instructions for submitting this form?

What are the important dates for this form in 2024 and 2025?

What is the purpose of this form?

Tell me about this form and its components and fields line-by-line.

What happens if I fail to submit this form?

How do I know when to use this form?

What are the instructions for submitting this form?

To submit this form, complete all required fields and have both parents sign the form in the presence of a notary public. Include a valid copy of your Photo ID and a U.S. Money Order or certified check for the correct amount if applicable. Mail the completed form to the State Office of Vital Records at 1680 Phoenix Blvd., Suite 100, Atlanta, GA 30349. For any questions or further assistance, contact the State Office of Vital Records at 404-679-4702. Ensure all documents are submitted promptly and correctly to avoid delays or rejection.

What are the important dates for this form in 2024 and 2025?

In 2024 and 2025, please note that the form must be notarized and submitted within the relevant deadlines. The 60-day rescission period is crucial for both parents. Ensure timely submission to avoid legal complications.

What is the purpose of this form?

The purpose of the Paternity Acknowledgement form is to establish the legal relationship between a biological father and his child. By completing and submitting this form, the father's name is added to the child's birth record, and the child's last name can be changed within the first year of birth if both parents agree. This form provides a streamlined process for unmarried parents to establish paternity without going through court proceedings. It is important to note that the acknowledgment of paternity is a voluntary agreement between the mother and the biological father. Both parents must be confident in the father's biological relationship to the child before signing the form. Once filed with the State Office of Vital Records, this acknowledgment becomes a vital record and is considered legally binding. Moreover, understanding the rights and responsibilities outlined in the form is crucial. While signing the Paternity Acknowledgement form, it will be presumed by law that the male signer is the biological father of the child. However, signing this form does not entitle the father to custody, visitation, or inheritance rights, which must be established separately through court proceedings.

Tell me about this form and its components and fields line-by-line.

This form contains several sections to capture detailed information about the parents and the child.

1. STATE FILE NUMBER: The unique identification number assigned to the child's birth record by the state.
2. FACILITY: The name of the hospital or birth facility where the child was born.
3. FATHER'S FIRST NAME AT BIRTH: The biological father's first name as recorded at birth.
4. FATHER'S MIDDLE NAME AT BIRTH: The biological father's middle name as recorded at birth.
5. FATHER'S LEGAL LAST NAME: The legal last name of the biological father.
6. GENERATION: Any generational suffixes such as Jr., II, III, etc.
7. MOTHER'S FIRST NAME AT BIRTH: The biological mother's first name as recorded at birth.
8. MOTHER'S MIDDLE NAME AT BIRTH: The biological mother's middle name as recorded at birth.
9. MOTHER'S LAST NAME AT BIRTH: The biological mother's last name as recorded at birth.
10. CHILD'S FIRST NAME: The first name of the child.
11. CHILD'S MIDDLE NAME: The middle name of the child.
12. CHILD'S LAST NAME: The last name of the child.
13. GENERATION: Any generational suffixes for the child such as Jr., II, III, etc.
14. CHILD'S SEX: Indicate whether the child is male or female.
15. CHILD'S DATE OF BIRTH & COUNTY: The child's date of birth and the county in which the birth occurred.
16. IDENTIFY IF THERE WAS A FETAL DEATH OR STILLBIRTH: State whether the birth was a fetal death or stillbirth if applicable.
17. MOTHER'S INFORMATION: Details about the mother's address, date and place of birth, Social Security number, and employer.
18. FATHER'S INFORMATION: Details about the father's address, date and place of birth, Social Security number, and employer.
19. NOTARY PUBLIC: The section where both parents and the notary public must sign and notarize the form, including identification and seal.

What happens if I fail to submit this form?

Failing to submit this form properly can result in the biological father's name not being added to the child's birth record. This may affect the legal acknowledgment of paternity and the child's legal rights.

Legal Recognition: Without submission, the father's paternity may not be legally recognized.
Birth Certificate: The child's birth certificate will not have the father's name.
Parental Rights: The father may not have parental rights without legal acknowledgment.
Name Change: The child's name cannot be changed without proper submission.
Delayed Legal Processes: Further legal action may be required to establish paternity through court proceedings.

How do I know when to use this form?

Use this form when you need to legally acknowledge paternity and add the father's name to a child's birth record.

1. Unmarried Parents: For unmarried parents to establish legal paternity.
2. Name Change: To change the child's name within the first year of birth.
3. Legal Acknowledgment: To provide a legal acknowledgment of the father's relationship to the child.
4. Birth Certificate Amendment: To amend the birth certificate to include the father's name.
5. Rescind Acknowledgment: To rescind the acknowledgment within 60 days if needed.

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Do I need a notary public to sign the Paternity Acknowledgement form?

Yes, both parents must sign the form in the presence of a notary public.

How do I submit the completed Paternity Acknowledgement form?

Submit the completed form along with any applicable fees to the State Office of Vital Records.

Can I change the child's name using this form?

Yes, the child's name can be changed within the first year of birth if agreed upon by both parents.

What happens if the mother was married within 10 months prior to the child's birth?

A court action will be necessary to establish paternity and amend the birth record.

Can an unwed parent under age 18 sign the form without parental consent?

Yes, an unwed parent under 18 can sign without parental consent, although it is recommended.

How long do I have to rescind the Paternity Acknowledgement?

You have 60 days from the date of signature to rescind the acknowledgment.

Will signing the form give the father custody or visitation rights?

No, custody and visitation rights must be established through a petition for legitimation with the court.