Cse 1016Aforpd Form PDF Details

The Waiver of Paternity Affidavit, designated as the CSE-1016AFORPD form by the Arizona Department of Economic Security's Division of Child Support Enforcement, plays a critical role in the legal landscape surrounding paternity and child support. This document allows a man presumed to be the father of a child—often the husband of the child's mother at the time of conception—to declare that he does not believe he is the child's biological father. By completing this form, the presumed father relinquishes any legal rights to the child, waiving the right to notice of, or to appear at, any paternity-related hearings. Moreover, he expresses his lack of objection to paternity proceedings aimed at identifying the natural father. It’s important to understand that completing and submitting this form is a serious legal action that can have lasting consequences for all parties involved. The form requires information such as the names of the presumed father, the child's mother, and the child or children in question, and it must be filled out in black ink to ensure legibility. Notably, this document, once submitted, is a sworn affidavit, underscoring the solemnity of the declarations made within. Equally important is the commitment of the Department to uphold principles of non-discrimination and accessibility, as highlighted by their policy statement on providing reasonable accommodations and adhering to various acts that protect civil rights and ensure equal opportunity for all, regardless of disability, race, color, religion, sex, national origin, or age.

QuestionAnswer
Form NameCse 1016Aforpd Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameswaiver of paternity affidavit arizona, ADA, Subscribed, affirmed

Form Preview Example

CSE-1016AFORPD (1-08)

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

Division of Child Support Enforcement

WAIVER OF PATERNITY AFFIDAVIT

(THIS IS A LEGAL DOCUMENT, PLEASE TYPE OR PRINT IN BLACK INK.)

 

 

AFFIDAVIT OF PRESUMED FATHER

STATE OF

)

 

 

 

 

 

ss.

 

 

)

AFFIDAVIT

County of

)

 

 

 

 

 

 

 

I,

 

, being duly sworn upon my oath, depose and say:

 

(Presumed Father's Name - First, Middle, Last)

 

 

 

that I am the former/present husband of

 

 

and that at the time of conception of:

 

 

(Name of Child's Mother - First, Middle, Last)

Child 1 Name (First, Middle, Last)

Child 2 Name (First, Middle, Last)

Child 3 Name (First, Middle, Last)

I was married to

, but did not have sexual access to her during the conception period(s).

(Name of Child's Mother - First, Middle, Last)

Therefore, I am not the natural father of the above-named child(ren) and hereby relinquish and waive all legal rights that I might have to the above-named minor child(ren).

Further, I do not object to any proceeding to establish paternity against the natural father. I waive my right to notice of and my right to appear at any hearing for the above-named child(ren).

Dated:

Signature:

Subscribed and sworn or affirmed and acknowledged before me this date:

My Commission Expires:

 

Notary Public

 

 

 

Equal Opportunity Employer/Program ̶ Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI & VII), and the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975, the Department prohibits discrimination in admissions, programs, services, activities, or employment based on race, color, religion, sex, national origin, age, and disability. The Department must make a reasonable accommodation to allow a person with a disability to take part in a program, service or activity. For example, this means if necessary, the Department must provide sign language interpreters for people who are deaf, a wheelchair accessible location, or enlarged print materials. It also means that the Department will take any other reasonable action that allows you to take part in and understand a program or activity, including making reasonable changes to an activity. If you believe that you will not be able to understand or take part in a program or activity because of your disability, please let us know of your disability needs in advance if at all possible. To request this document in alternative format or for further information about this policy, contact (602) 274-3792; TTY/TDD Services: 7-1-1.

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Step number 1 for filling out CSE-1016AFORPD

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Notary Public, S ignature, and Dated in CSE-1016AFORPD

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