Ohio putative father registry - OAC rule 5101:2-48-02, entitled "Putative Father Registry" provides guidance to agencies regarding the Ohio Putative Father Registry, established to assist putative fathers in securing their parental rights in an adoption. In paragraph (B), the form name and effective date for the JFS 01694 were corrected.

 
Original, notarized form must be mailed. Section 192.016, RSMo, requires the Missouri Department of Health and Senior Services to establish a “Putative Father Registry” which allows a father of an out-of-wedlock child to file a Notice of Intent to Claim Paternity. The registry, upon request, can be searched by specifically authorized entities.. Nathaniel walter radimak

What is the Ohio Putative Father Registry? The Ohio Putative Father Registry (OPFR) is a computerized database maintained by the Ohio Department of Job and Family Services.This letter transmits revisions to the following adoption services forms in Ohio Administrative Code (OAC) Chapter 5101:2-48: JFS 01694 "Application for Search of Ohio Putative Father Registry (Registration Form for Fathers)," JFS 01694-I "Instructions for Registration Form for Fathers" and JFS 01695 "Application for Search of Ohio Putative Father Registry."The department of job and family services shall establish a putative father registry. A putative father may register at any time. For the purpose of preserving the requirement of his consent to an adoption, a putative father shall register before or not later than fifteen days after the birth of the child.Terminating Putative Fathers’ Rights. Despite the holding in KH, some courts and petitioners include the names of putative fathers when there is a legal father or name ‘‘John Doe’’ on termination petitions when the child has no legal father. These courts terminate the rights of individuals who have no rights to terminate.A putative father is required to register with Ohio’s Putative Father Registry within 30 days of the birth of the minor, otherwise, a child may be adopted without the putative father’s consent. If consent is required to an adoption proceeding, Ohio law mandates certain requirements must be followed to properly complete an adoption.The office of child support in the department of job and family services and a child support enforcement agency may examine the putative father registry established under section 3107.062 of the Revised Code to locate an absent parent for the purpose of the office or agency carrying out its duties under the child and spousal support …Feb 1, 2021 · Ohio putative father registry at ODJFS. (D) The putative father may register prior to the birth of the child or within fifteen days following the birth of the child. (E) An attorney arranging an adoption, a mother, a PCSA, a PCPA, or a private noncustodial agency (PNA) may request a search of the OPFR by completing the JFS 01695 "Application ... JFS 01695-S "Application for Search of Ohio Putative Father Registry" INSTRUCTIONS: The following chart depicts what materials are to be inserted in the Family, Children and Adult Services Manual (FCASM). CDC - Blogs - The Topic Is Cancer – Putting Cancer Data in the Fast Lane - Perspectives on a variety of cancer-related topics, hosted by CDC CDC’s National Program of Cancer Regist...If you live in Ohio and are thinking about going solar, read this first to learn about the best solar companies in Ohio and find the right one for you. Expert Advice On Improving Y...The Putative Father Registry is a way for such fathers to make sure that they can protect their rights. Phone: 866-PFR-DCFS (866-737-3237) Fax: 217-753-3492. Illinois Putative Father Registry, Fathers Rights, What are my rights as a father, Fathers protection, putative father registry, father registry, putative father, program of DCFS, PFR ...Putative Father If the child was born after January 1, 1997, and there is no father’s name on the birth certificate or paternity was never established, a search of the Ohio Putative Father Registry is required and Probate Court needs the response from the Registry of the search prior to the filing of the adoption petitiontary public and filed with the Putative Father Registry. The mother will receive a certi-fied letter from the Putative Father Registry stating that the father has filed an instrument to acknowledge paternity. A father or other parent can use LDSS-5171, Notice Regarding Legal Rights and the Consequences of Signing the Acknowledg-ment of Parentage.(A) An attorney arranging a minor's adoption, a mother, a public children services agency, a private noncustodial agency, or a private child placing agency may request at any time that the department of job and family services search the putative father registry to determine whether a man is registered as the minor's putative father. Putative Father Registry. A putative father is a man that claims to be the biological father of a child, but does not have an established legal relationship with the child. Visit the Putative Father Registry to register or request search. Online Putative Father Registry. Register for or search the Putative Father Registry. Ohio putative father registry at ODJFS. (D) The putative father may register prior to the birth of the child or within fifteen days following the birth of the child. (E) An attorney arranging an adoption, a mother, a PCSA, a PCPA, or a private noncustodial agency (PNA) may request a search of the OPFR by completing the JFS 01695 "Application ...APPLICATION FOR SEARCH OF OHIO PUTATIVE FATHER REGISTRY “Registration Form for Fathers” Ohio Putative Father Registry P. O. Box 182709 Columbus, Ohio 43218-2709 Phone: 1-888-313-3100 The following information, if it is complete and submitted within 30 days of the child’s birth, will enable you to be notified in the case of an adoption ...(A) Adopt rules in accordance with Chapter 119. of the Revised Code governing the putative father registry. The rules shall establish the registration form to be used by a putative father under section 3107.062 of the Revised Code. (B) Establish a campaign to promote awareness of the putative father registry.Information on the survival trends of hospitalized COVID-19 patients is important for physicians to identify trends and track the efficacy of hospital-based care in real-world prac...Real estate agent fees are the commissions earned by agents for their representation for the sale or purchase of a home. While rates can vary, there are some things central Ohio se...To search the putative father registry you must supply a Paternity Search Application, copy of the requester’s ID and a check or money order for the correct fees. If the requester is an attorney or adoption agency we will need a signed letter on company letterhead or if the requester is the adoptive parents we will need a copy of the petition ...We would like to show you a description here but the site won’t allow us.The answer to Elon Musk's problem? A token-curated registry, of course. Maybe Elon Musk won’t have to go to all the trouble of building his “Pravda” website for rating journalists’...The address of the the Putative Father Registry is: Ohio Putative Father Registry 30 E. Broad Street, Floor 31 Columbus, OH 43266-0423 What is an Open Adoption? As an alternative to a traditional closed adoption where identities are not disclosed, an open adoption occurs when both the natural and adopting parents, prior to the adoption ...Establishing Paternity. In Ohio, paternity can be established in three ways: Acknowledgment of Paternity Affidavit: By signing this affidavit, both parents agree that a man is the biological father of a child and choose to make him the legal father of the child. To see if the Acknowledgment of Paternity Affidavit is appropriate for your ...JFS 01695-S "Application for Search of Ohio Putative Father Registry" INSTRUCTIONS: The following chart depicts what materials are to be inserted in the Family, Children and Adult Services Manual (FCASM).IN RE ADOPTION OF H.N.R. [Cite as In re Adoption of H.N.R., 145 Ohio St.3d 144, 2015-Ohio-5476.] Adoption—Putative Father Registry—R.C. 3107.07(B)(1) and 3107.062— Procedural due process—As-applied challenge to putative-father-registry deadline—Putative father was not injured by aspect of statute he alleges is …(B) When a putative father contacts the public children services agency (PCSA) or private child placing agency (PCPA), the PCSA or PCPA shall provide the JFS 01694 "Ohio Putative Father Registry Registration for Fathers" (rev. 3/2015) and the JFS 01694I "Instructions for Completing JFS 01694" (rev. 3/2015) to the putative father or refer the putative father to the ODJFS putative father ...(A) "Putative father" as defined in section 3107.01 of the Revised Code means a man, including one under age eighteen, who may be a child's father and to whom all of the following apply: (1) He is not married to the child's mother at the time of the child's conception or birth. (2) He has not adopted the child. (3) He has not been determined, …The Putative Fathers Registry is a tool used by men to assert paternity and protect parental rights. Requirements vary by state, with 24 states having established registries for unmarried fathers. Registering as a putative father establishes legal recognition of the father’s parental rights and ensures he is informed in any proceedings ...The birth father first must register with the Ohio Putative Father Registry that is maintained by the Ohio Department of Job and Family Services anytime during the … (A) The Ohio putative father registry (OPFR), as defined in rule 5101:2-1-01 of the Administrative Code, is designed to: (1) Facilitate the registration of putative fathers who want to be notified in the event that their child may be placed for adoption. Register as a father on the Ohio Putative Father Registry using Form JFS01694. Safeguard your parental rights and ensure a say in the future of your child. Fill, download, and print the form for free at TemplateRoller.com.The Ohio Putative Father Registry protects your rights as a potential parent. If the child’s other parent decides to place a child for adoption, the Ohio Putative Father registry must be checked. You will receive notice that you may be the parent of a …R.C. 3107.062, which provides that a putative father who fails to timely register on the putative-father registry shall not be provided notice of the adoption hearing, and R.C. 3107.07(B), which provides that, in this circumstance, the putative father’s consent to adopt is not required. Additionally, Crooks argued that Pushcar did not bear on theThe registry both expedites the adoption process and helps registered putative fathers ensure they are included in adoption proceedings. Registration with the Putative Father Registry does not establish paternity. If you have questions, please call (859) 274-6644. Original, notarized form must be mailed. Section 192.016, RSMo, requires the Missouri Department of Health and Senior Services to establish a “Putative Father Registry” which allows a father of an out-of-wedlock child to file a Notice of Intent to Claim Paternity. The registry, upon request, can be searched by specifically authorized entities. To register, a putative father shall register online or complete the JFS 01694 and submit it to the Ohio putative father registry at ODJFS. The putative father may …Establishing Paternity. In Ohio, paternity can be established in three ways: Acknowledgment of Paternity Affidavit: By signing this affidavit, both parents agree that a man is the biological father of a child and choose to make him the legal father of the child. To see if the Acknowledgment of Paternity Affidavit is appropriate for your ...The Ohio Putative Father Registry (OPFR) allows a man who has fathered a child out of wedlock (or believes he has) to be notified if the child is placed for adoption. This notification gives the putative father the opportunity to pursue his parental rights, such as pursuing custody (allocation of parental rights and responsibilities).The Putative Father Registry is a way for such fathers to make sure that they can protect their rights. Phone: 866-PFR-DCFS (866-737-3237) Fax: 217-753-3492. Illinois Putative Father Registry, Fathers Rights, What are my rights as a father, Fathers protection, putative father registry, father registry, putative father, program of DCFS, PFR ...Section 3107.063. |. Searching putative father registry. (A) An attorney arranging a minor's adoption, a mother, a public children services agency, a private noncustodial agency, or a private child placing agency may request at any time that the department of job and family services search the putative father registry to determine whether a man ...Register as a father on the Ohio Putative Father Registry using Form JFS01694. Safeguard your parental rights and ensure a say in the future of your child. Fill, download, and print the form for free at TemplateRoller.com.(2) If the department determines that money in the putative father registry fund is more than is needed for its duties related to the putative father registry, the department may use the surplus moneys in the fund as permitted in division (C) of section 2151.3534, division (B) of section 2151.3530, or section 5103.155 of the Revised Code.registered with the putative father registry within thirty days of the child's birth and filed a parentage action in juvenile court prior to the date on which a petition for adoption was filed. In re Adoption of Pushcar (2006), 110 Ohio St.3d 332, 2006 Ohio 4572, 853 N.E.2d 647, followed. A. STATEMENT OF THE CASE Appellee timely registered with ...How to Report Child Abuse and Neglect in Ohio. The Ohio Department of Job and Family Services has launched 855-O-H-CHILD (855-642-4453), an automated telephone directory that will link callers directly to a child welfare or law enforcement office in their county. Reports can be anonymous.registered with the putative father registry within thirty days of the child's birth and filed a parentage action in juvenile court prior to the date on which a petition for adoption was filed. In re Adoption of Pushcar (2006), 110 Ohio St.3d 332, 2006 Ohio 4572, 853 N.E.2d 647, followed. A. STATEMENT OF THE CASE Appellee timely registered with ...Claims may be filed with the Responsible Father Registry by a male who is eighteen years of age or older and who is not married to the biological mother of a child of whom he is or claims to be the natural father. To be approved a claim of paternity: Must be filed only by the registrant father. No other person may file the claim on behalf of ...failed to consider that the putative father had complied with the Indiana Putative Father Registry, as well as the effect of the registration under the Interstate Compact Placement of Children (“ICPC”). In the Matter of the Adoption of Lichtenberg (Mar. 5, 2003), 12th Dist. No. CA2002-11-125, 2003-Ohio-1014. In the second case, the father ...In Ohio, if a child’s parents are not married to each other when the child is born, that child does not have a legal father. Paternity must be established for the person to be called the legal father of a child. Once this happens the father’s name can appear on the birth certificate. For unmarried parents in Ohio, paternity can be ...The department of job and family services shall establish a putative father registry. To register, a putative father must complete a registration form prescribed under section 3107.065 of the Revised Code and submit it to the department. The registration form shall include the putative father's name; the name of the mother of the person he ...The Ohio Putative Father Registry (OPFR) allows a man who has fathered a child out of wedlock (or believes he has) to be notified if the child is placed for …The department of job and family services shall establish a putative father registry. To register, a putative father must complete a registration form prescribed under section 3107.065 of the Revised Code and submit it to the department. The registration form shall include the putative father's name; the name of the mother of the person he claims …As the name suggests, a putative father registry is a place where a man can register himself as the father of his child. The requirements vary from state to state (as do the rights and obligations once a father registers on the putative father registry of a given state), and while more than half of the states in the United States maintain ...(A) The Ohio putative father registry (OPFR), as defined in rule 5101:2-1-01 of the Administrative Code, is designed to: (1) Facilitate the registration of putative fathers who want to be notified in the event that their child may be placed for adoption.registered with the putative father registry within thirty days of the child's birth and filed a parentage action in juvenile court prior to the date on which a petition for adoption was filed. In re Adoption of Pushcar (2006), 110 Ohio St.3d 332, 2006 Ohio 4572, 853 N.E.2d 647, followed. A. STATEMENT OF THE CASE Appellee timely registered with ...Use a wedding registry to help find the perfect gift for the wedding. Make plans for the wedding registry and wedding gifts at HowStuffWorks. Advertisement Choosing gifts from the ...(C) The putative father of the minor; * * * {¶ 18} Emphasis added. {¶ 19} R.C. 3107.062 addresses the putative father registry and states: The department of job and family services shall establish a putative father registry. To register, a putative father must complete a registration form prescribed under section 3107.065 of the Revised5101 2 48 02 Putative Father Registry FCASMTL 341 2014 10 01 (A) Putative father as defined in section 3107.01 of the Revised Code means a man, including one under age eighteen, who may be a child'sOhio Department of Job and Family Services APPLICATION FOR SEARCH OF OHIO PUTATIVE FATHER REGISTRY JFS 01695 (Rev. 3/2008) Page 1 of 2 Ohio Putative Father Registry P.O. Box 182709 Columbus, Ohio 43218-2709 Phone: 1-888-313-3100 Please perform a search of the Ohio Putative Registry. Please advise if a Putative …In Ohio, a person is presumed to know that if he has had sexual relations with a woman and she becomes pregnant that the child may be adopted without the father’s consent once the child is more than a month old. As a way to counteract this result, the Ohio State legislature mandated the creation of the Ohio Putative Father Registry.JFS 01694-SI "Application for Search of Ohio Putative Father Registry (Fathers) - Instructions" JFS 01695-S "Application for Search of Ohio Putative Father Registry" INSTRUCTIONS: The following chart depicts what materials are to be inserted in the Family, Children and Adult Services Manual (FCASM). LOCATION REMOVE AND FILE …Etsy is launching Etsy Registry, a new feature that allows couples to register for personalized wedding gifts on the site. Etsy announced today that it’s launching Etsy Registry, a...Ohio Department of Job and Family Services . APPLICATION FOR SEARCH OF OHIO PUTATIVE FATHER REGISTRY . Ohio Putative Father Registry . P.O. Box 183204 . Columbus, Ohio 43218 . Phone: 1-888-313-3100 / Fax (614) 728-6726 . [email protected] . Please perform a search of the Ohio Putative RegistryFather and advise if a putative father has registeredArizona. Who Can Adopt: Any adult (age 18 or older) Arizona resident may adopt, including those who are legally separated. Married couples may adopt jointly. Age When Adoptee’s Consent Required: Age 12 and up; consent must be given in open court. Putative Father Registry:: Yes. To adopt a child in Arizona, you can work with an adoption facilitator as …Section 3107.063 | Searching putative father registry. Ohio Revised Code / Title 31 Domestic Relations-Children / Chapter 3107 Adoption . Effective: March 23, 2015. Latest Legislation: Senate Bill 250 - 130th General Assembly. PDF: Download Authenticated PDF PLEASE PRINT OR TYPE ALL INFORMATION LEGIBLY AND CORRECTLY BELOW. PUTATIVE FATHER REGISTRATION FORM 396 (REVISED 120 /2016) PLEASE ADDRESS ALL CORRESPONDENCE TO THE ADDRESS BELOW. STATE OFFICE OF VITAL RECORDS 1680 PHOENIX BLVD. SUITE 100, ATLANTA, GA 30349 PHONE 404.679.4702. Ohio Department of Job and Family Services . Ohio Putative Father Registry . P.O. Box 183204 . Columbus, Ohio 43218. Physical/Overnight Delivery Address: Ohio Department of Job and Family Services . Ohio Putative Father Registry . 4200 E. 5th Ave. Columbus, OH 43218-3204. Fax: (614) 728-6726 : Email: [email protected]: JFS 01694-I (Rev. 3/2015)The department of job and family services shall establish a putative father registry. To register, a putative father must complete a registration form prescribed under section 3107.065 of the Revised Code and submit it to the department. The registration form shall include the putative father's name; the name of the mother of the person he claims as …The father does not have to be listed on the birth certificate to register. Q: What is the cost of registering or searching the Putative Father Registry? Answer ...Arizona. Who Can Adopt: Any adult (age 18 or older) Arizona resident may adopt, including those who are legally separated. Married couples may adopt jointly. Age When Adoptee’s Consent Required: Age 12 and up; consent must be given in open court. Putative Father Registry:: Yes. To adopt a child in Arizona, you can work with an adoption facilitator as …GRF 600563, Putative Father Registry $.5 5CV3 6006A3, County JFS $30.0 5CV3 6006A2, Community Food Assistance – ARPA $25.0 5CV3 600455, Operating Funds ARPA $13.0 ... Effective January 1, 2023, the bill repeals the Ohio adoption tax credit, applicable against the personal income tax (PIT). Repealing the credit will …The office of child support in the department of job and family services and a child support enforcement agency may examine the putative father registry established under section 3107.062 of the Revised Code to locate an absent parent for the purpose of the office or agency carrying out its duties under the child and spousal support …Real estate agent fees are the commissions earned by agents for their representation for the sale or purchase of a home. While rates can vary, there are some things central Ohio se...(A) "Putative father" as defined in section 3107.01 of the Revised Code means a man, including one under age eighteen, who may be a child's father and to whom all of the following apply: (1) He is not married to the child's mother at the time of the child's conception or birth. (2) He has not adopted the child. (3) He has not been determined, …Who should register with the Ohio Putative Father Registry? Any male who he may be the father of an unborn child or a child born within the last 30 days should register with the OPFR. This includes an adult or a minor who is less than 18 years old. Why should someone register with the Ohio Putative Father Registry?TechCrunch Live is thrilled to shine the spotlight on Columbus, Ohio on June 1. Register NOW for the virtual event and apply for the pitch-off. TechCrunch Live is thrilled to shine...PLEASE PRINT OR TYPE ALL INFORMATION LEGIBLY AND CORRECTLY BELOW. PUTATIVE FATHER REGISTRATION FORM 396 (REVISED 120 /2016) PLEASE ADDRESS ALL CORRESPONDENCE TO THE ADDRESS BELOW. STATE OFFICE OF VITAL RECORDS 1680 PHOENIX BLVD. SUITE 100, ATLANTA, GA 30349 PHONE …Rule 5101:2-48-02 | Putative father registry. Rule 5101:2-48-02. |. Putative father registry. (A) The Ohio putative father registry (OPFR), as defined in rule 5101:2-1-01 of the Administrative Code, is designed to: (1) Facilitate the registration of putative fathers who want to be notified in the event that their child may be placed for adoption.Jan 17, 2014 · A: The Ohio Putative Father Registry… is a way by which a man who feels he might have fathered a child can establish his right to be notified of adoption-related hearings. His registration…entitles him to such notification whether or not the birthmother names him as the biological father. "Registration Form for Fathers" Ohio Putative Father Registry P.O. Box 182709 . Columbus, Ohio 43218-2709 . Phone: 1-888-313-3100 . The following information, if it is complete and submitted within 30 days of the child's birth, will enable you to be notified in the case of an adoption proceeding involving a child of whom you may be the father ... JFS 01694, "Application for Search of Ohio Putative Father Registry (Registration Form for Fathers)" is a registration form used by putative fathers who want to be notified in the event their child may be placed for adoption. Putative fathers will no longer be required to have this form notarized so the notarization section of this form has ... Facilitating the efforts of interested parties to search the Registry for putative fathers. Conducting searches of the Registry for interested parties to determine if a father is registered. Providing search results to interested parties. Phone: 866-PFR-DCFS (866-737-3237) Fax: 217-753-3492.If you are sure you want to register with the Putative Father Registry, please continue now. This page is for Fathers wishing to register with the Putative Father Registry. If you are looking for search access you are in the wrong place. Please go back now. Phone: 866-PFR-DCFS (866-737-3237) Fax: 217-753-3492. Illinois Putative Father Registry ...Adoption—Putative Father Registry—R.C. 3107.07(B)(1) and 3107.062— Procedural due process—As-applied challenge to putative-father-registry deadline—Putative father was not injured by aspect of statute he alleges is unconstitutional—Where there is no prejudice to the party allegedly wronged by a statute, the party cannot call upon ...

The following information, if it is complete and submitted within 15 days of the child's birth, will enable you to be notified in the case of an adoption proceeding involving a child of …. Hobby lobby indian land

ohio putative father registry

(A) The Ohio putative father registry (OPFR), as defined in rule 5101:2-1-01 of the Administrative Code, is designed to: (1) Facilitate the registration of putative fathers who want to be notified in the event that their child may be placed for adoption.Select the name of the child whose putative father you are searching. The system displays the children in the case. This field is required. Estimated Due Date of Mother. If you are searching for the father of a child who is not yet born, enter the two-digit month and four-digit year when the mother is due to deliver the baby. Hospital Name.Consent is required by a known biological father, a known adoptive father, or a man who has registered with the Ohio Putative Father Registry (OPFR) within 15 days of the child’s birth (the putative father). If the birthfather is unknown, a routine search of the OPFR will need to be done to determine if any man has registered as the baby’s ...(A) Adopt rules in accordance with Chapter 119. of the Revised Code governing the putative father registry. The rules shall establish the registration form to be used by a putative father under section 3107.062 of the Revised Code. (B) Establish a campaign to promote awareness of the putative father registry.(C) To register, a putative father shall register online or complete the JFS 01694 and submit it to the Ohio putative father registry at ODJFS. (D) The putative father …Select the name of the child whose putative father you are searching. The system displays the children in the case. This field is required. Estimated Due Date of Mother. If you are searching for the father of a child who is not yet born, enter the two-digit month and four-digit year when the mother is due to deliver the baby. Hospital Name.Jan 19, 2015 · Legislation has been introduced in Ohio’s General Assembly that may bring changes to putative father law in Ohio. Under House Bill 307, the legislation would reduce the time within which a putative father must register with the putative father registry from 30 days to 15 days after the child’s birth. The legislation also proposes certain ... The birth father first must register with the Ohio Putative Father Registry that is maintained by the Ohio Department of Job and Family Services anytime during the …The birth father first must register with the Ohio Putative Father Registry that is maintained by the Ohio Department of Job and Family Services anytime during the pregnancy and up to 15 days after the birth of the child. Also, he must file a formal written objection to the adoption in probate court and be prepared to offer an alternative ...If you are sure you want to register with the Putative Father Registry, please continue now. This page is for Fathers wishing to register with the Putative Father Registry. If you are looking for search access you are in the wrong place. Please go back now. Phone: 866-PFR-DCFS (866-737-3237) Fax: 217-753-3492. Illinois Putative Father Registry ...with the registry to any New York State authorized agency or court, and such information shall not be divulged to any other person, except upon order of the court for good cause shown. Social Services Law 372-c Putative Father Registry. SIGNATURE OF AGENCY/COURT OFFICIAL: PRINT NAME OF AGENCY/COURT OFFICIAL: …PLEASE PRINT OR TYPE ALL INFORMATION LEGIBLY AND CORRECTLY BELOW. PUTATIVE FATHER REGISTRATION FORM 396 (REVISED 120 /2016) PLEASE ADDRESS ALL CORRESPONDENCE TO THE ADDRESS BELOW. STATE OFFICE OF VITAL RECORDS 1680 PHOENIX BLVD. SUITE 100, ATLANTA, GA 30349 PHONE …The department of job and family services shall establish a putative father registry. To register, a putative father must complete a registration form prescribed under section 3107.065 of the Revised Code and submit it to the department. The registration form shall include the putative father's name; the name of the mother of the person he claims as … PLEASE PRINT OR TYPE ALL INFORMATION LEGIBLY AND CORRECTLY BELOW. PUTATIVE FATHER REGISTRATION FORM 396 (REVISED 120 /2016) PLEASE ADDRESS ALL CORRESPONDENCE TO THE ADDRESS BELOW. STATE OFFICE OF VITAL RECORDS 1680 PHOENIX BLVD. SUITE 100, ATLANTA, GA 30349 PHONE 404.679.4702. .

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