Acknowledgement Of Paternity After Child's Birth

(This form allows the father to acknowledge paternity of a child after its birth. Does not address child support.)

[NAME] MOTHER, referred to as MOTHER, and [NAME] FATHER, referred to FATHER, agree:

MOTHER gave birth to a male child born on ______________, [DATE] in _________________, [CITY] _____________ [STATE] named ____________________. FATHER acknowledges paternity of the child.

Dated: ______________

___________________________

MOTHER

___________________________

FATHER

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