When filed, this form is the same as a court order of parentage.
Mother and a man: may use this form if the child was born out of wedlock and not conceived by assisted reproduction or under a surrogacy agreement.
After the hospital: if you complete this form after you leave the hospital, both parents must sign it in the presence of a qualified witness or Notary Public.
Filing: you must file this form by mailing the original to the State Division of Vital Records.
Copies: photocopies will not be accepted for filing.
Ink: the form must be typed or printed legibly in blue or black ink; do not cross out information or use white-out.
| Question | Answer |
|---|---|
| Form Name | Form DCH-0682 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 6 min |
| Jurisdiction | Michigan |
| Issuing Agency | Michigan Department of Health and Human Services (MDHHS) |
| Notarization Required | Yes |
| Rescission Period | 60 days from signing |
| Edition | Rev. 03/2025 |
| Issuing agency | Michigan Department of Health and Human Services |
| Where to file | Mail the original form, not a photocopy, to the State Division of Vital Records |
| Other names | DCH-0682, DCH 0682, DCH-0682W, DCH 0682W, Form DCH-0682, Michigan Affidavit of Parentage, Affidavit of Parentage |
| Official source | Form DCH-0682 (Rev. 03/2025), Michigan Department of Health and Human Services |
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