The Nevada Declaration of Paternity form is a legal document that establishes the legal father of a child when both parents agree on paternity. By completing this form, parents can ensure that the child's birth certificate accurately reflects the father's name and legal status. It is important to understand the rights and responsibilities that come with signing this declaration.
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State of Nevada
Declaration of Paternity
THIS IS A LEGAL DOCUMENT. TYPE OR PRINT IN BLACK INK. Parents are to be given a copy of this completed
document prior to sending to the Office of Vital Records (see bottom of page).
PLEASE READ PAGE 2 BEFORE COMPLETING.
SECTION A ALL PARTS OF SECTIONS A & B MUST BE COMPLETED AND SECTION D WITNESSED
NAME OF CHILD – FIRST
MIDDLE
LAST
Child
SEX OF THE CHILD
DATE OF BIRTH (Month, Day, Year
HOSPITAL NAME
CITY
Place of Birth
COUNTY
STATE
NAME OF FATHER – FIRST
Father’s
Information
DATE OF BIRTH (Month, Day, Year)
SOCIAL SECURITY NUMBER
STATE OR FOREIGN COUNTRY OF BIRTH
CURRENT ADDRESS (Number, Street, City, State Zip)
NAME OF MOTHER – FIRST
Mother’s
SECTION B As part of the filing procedure the child’s name may be changed at this time from the name appearing on the original birth certificate. A name change requested after this declaration is filed may require a court order. No white-out, erasures or cross-outs will be allowed in this section.
First
Middle
Last
SECTION C
READ OTHER SIDE BEFORE SIGNING
I declare under the penalty of perjury that:
O
The information I have provided is true and correct.
I am the legal father of the child named on this declaration.
I am the natural mother of the child named on this
I have read and understand the rights and responsibilities
declaration.
described on the back of this form.
The man signing this form is the only possible father of this
I have been orally/audio informed of my rights and
child.
responsibilities.
I understand that by signing this form I voluntarily consent
to the establishment of paternity and accept all of the rights
and responsibilities as the legal father of this child.
I wish to be added to the child’s birth certificate.
I understand that by signing this form I am establishing the
A genetic test has not determined that another man is the
man signing this form as the legal father of this child with all
legally presumed father of this child.
the rights and responsibilities of a legal father.
There is no court order or other Acknowledgment of
I consent to adding the name of the man signing this form to
Paternity form naming another man as the legal father of
the birth certificate of the child’s birth certificate
this child.
SIGNATURE OF FATHER
DATE SIGNED
SIGNATURE OF MOTHER
WITNESS OF FATHER’S SIGNATURE
WITNESS OF MOTHER’S SIGNATURE
Once this document is signed by all parties, please provide copies to the mother, father and hospital. The original document must be sent to the Nevada Office of Vital Records, 4150 Technology Way, Suite 104, Carson City, NV 89706 for filing.
Rights and Responsibilities of Acknowledging Paternity
By Signing This Declaration of Paternity:
1.You are acknowledging that you are the legal father of this child which, after 60 days, creates a legal determination that you are the father.
2.There will be no hearing or trial held on the issue of paternity at this time and you waive your right to genetic testing.
3.You have a duty to financially support the child, which is a separate issue from visitation and custody of the child.
4.A court order may order you to pay child support for the child until the child reaches 18 years of age, or 19 if still in high school, or otherwise declared free from your parental control by a court.
5.A court may order the withholding or assignment of your wages or commissions.
6.A court may order you to furnish health insurance for the child.
7.A court may order you to pay reasonable expenses of the mother’s pregnancy and confinement costs, which include birth expenses and public assistance provided on behalf of the child.
8.You have rights concerning custody and visitation of the child. Please be advised that physical custody of the child is generally granted to the biological unwed mother. If both father and mother cannot agree to an arrangement for visitation and/or custody, then you must pursue a separate legal action through the courts. You may need to hire a private attorney to assist you.
9.Unless you can show special circumstances of fraud, duress or material mistake of fact, under Nevada law you may not be able to petition the court to declare that you are not the legal father of the child. You may need to hire a private attorney to assist you.
10.This declaration of paternity can be revoked or rescinded within 60 days after the filing with the state registrar or within 60 days after you turn 18 years old, whichever is later. However, your name will
remain on the birth certificate until a court declares that you are not the legal father of this child.
__________________________________________________________________________________
Mailing Instructions
Please mail the completed form to the office of Vital Records, 4150 Technology Way, Suite 104, Carson City, Nevada 89706. There is a $40 charge to amend a certificate already on file in the office of Vital Records. This fee includes a certified copy of the amended or new record. Additional copies are $20 each. Please make your cashier’s check or money order out to Nevada Vital Records.
Please allow 4-8 weeks to process your request. Any questions concerning paternity actions should be addressed to the State Office of Vital Records at the above address, or by calling our office at (775)684-4242.
__________________________________________________________
Name
_____________________________________________________________________
Street Address or PO Box
City
State
ZIP Code
After completing the Nevada Declaration of Paternity form, it's important to ensure that all parties involved receive a copy before submitting the original to the Office of Vital Records. This step is crucial for maintaining accurate records and ensuring that everyone is informed.
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What is the Nevada Declaration of Paternity form?
The Nevada Declaration of Paternity is a legal document that establishes a father’s legal rights and responsibilities regarding a child. By signing this form, the father acknowledges that he is the legal parent of the child named in the declaration. This form is essential for ensuring that the father's name is added to the child's birth certificate and that he assumes all legal duties related to parenthood.
Who needs to sign the Declaration of Paternity?
Both the father and the mother of the child must sign the Declaration of Paternity. Their signatures confirm that they agree on the paternity acknowledgment. This mutual agreement is crucial for the legal establishment of the father’s rights and responsibilities.
What information is required to complete the form?
To complete the Declaration of Paternity, you will need to provide specific information about the child, the father, and the mother. This includes names, dates of birth, social security numbers, and current addresses. All sections must be filled out completely, and no corrections or alterations are allowed in the form.
What happens after the form is signed?
Once the Declaration of Paternity is signed by both parents, copies should be provided to each parent and the hospital. The original document must be mailed to the Nevada Office of Vital Records for official filing. This filing is what legally establishes the father’s paternity and adds his name to the child’s birth certificate.
Can the Declaration of Paternity be revoked?
Yes, the Declaration of Paternity can be revoked within 60 days of filing or within 60 days after the father turns 18, whichever is later. However, revocation does not remove the father's name from the birth certificate unless a court determines he is not the legal father.
What are the rights and responsibilities after signing the form?
By signing the Declaration of Paternity, the father accepts several responsibilities, including financial support for the child. He also gains rights related to custody and visitation. However, physical custody is typically granted to the mother unless otherwise agreed upon or ordered by a court. It's important to understand that if any disputes arise, separate legal action may be necessary.
What is the process for changing a child’s name on the birth certificate?
The Declaration of Paternity allows for a name change at the time of filing. If you wish to change the child's name after the declaration is submitted, you may need to obtain a court order. This process can be more complicated, so it's advisable to seek legal assistance if you plan to pursue a name change later.
Incomplete Sections: Many individuals fail to complete all parts of Sections A and B. Each section is crucial for establishing paternity. Omitting information can lead to delays or rejections of the form.
Incorrect Signatures: Signatures must be provided by both parents. Sometimes, one parent forgets to sign, or the signatures are not witnessed properly. This oversight can invalidate the declaration.
Using White-Out or Erasures: Some people attempt to correct mistakes by using white-out or erasing errors. This practice is not allowed. Such changes can render the document unacceptable.
Failure to Read Instructions: Ignoring the instructions on page 2 can lead to mistakes. It is essential to understand the rights and responsibilities outlined before signing the document.
The Nevada Declaration of Paternity form is a crucial document for establishing legal paternity. When filing this form, several other documents may also be required or beneficial to ensure a smooth process. Below is a list of commonly associated forms and documents.
These documents complement the Nevada Declaration of Paternity form and help clarify legal relationships and responsibilities. Ensuring all necessary paperwork is completed can facilitate a more efficient process for all parties involved.