To get started with the DCH 0682W Form, click the orange "Get Form" button above. This opens our free online PDF editor, so you can fill in the affidavit directly in your browser without any downloads or accounts.
How to Fill Out the DCH 0682W Form Step by Step
Step 1: Open the form by clicking the orange button above. The affidavit will load in our PDF editor.
Step 2: Complete the Child Information section. Enter the child's full legal name, date of birth, place of birth, and the birth certificate number if available.
Step 3: Fill in the Mother's Information section. Provide the mother's full legal name, date of birth, Social Security number, and current mailing address.
Step 4: Complete the Father's Information section. Provide the putative father's full legal name, date of birth, Social Security number, and current mailing address.
Step 5: Read the Rights and Acknowledgments section carefully. Both the mother and the father must understand that signing waives the right to genetic testing and to a court-appointed attorney for a paternity determination.
Step 6: Sign in front of a licensed notary public. Both parents must be present at the same time and sign the affidavit before the notary. The notary then signs and stamps the document.
Step 7: Submit the original signed affidavit to the MDHHS Division for Vital Records and Health Statistics, P.O. Box 30721, Lansing, MI 48909. Keep a copy for your records.
Who Qualifies to Sign This Affidavit
Only the biological mother and the man claiming to be the biological father may sign the Michigan Affidavit of Parentage. If the mother was married to another man at the time of the child's conception or birth, the husband is legally presumed to be the father. The existing presumption must be rebutted by a Michigan court order before this affidavit can be used.
Frequently asked questions
Does signing the affidavit give the father custody rights?
No. The affidavit establishes legal paternity only. The mother retains sole legal custody after signing. A separate parenting-time or custody order from a Michigan family court is required to grant the father visitation or shared custody.
Is there a fee to file the DCH 0682W with MDHHS?
The MDHHS does not charge a filing fee for the affidavit. A notary public may charge a small fee to witness the signatures, typically ranging from $2 to $10 per signature in Michigan.
What happens if the father wants to dispute paternity later?
After the 60-day rescission window closes, the father must petition a Michigan circuit court to vacate the affidavit. The court will grant the petition only if the father proves fraud, duress, or a material mistake of fact. A DNA test may support the petition but does not automatically invalidate a signed affidavit.
Can the affidavit be completed if the parents live in different states?
Yes, as long as the child was born in Michigan. Both parents must appear together before a notary to sign the form at the same time. The completed affidavit is then submitted to Michigan's vital records office regardless of where the parents currently reside.
Related Michigan and Paternity Forms
You may also need the following forms when handling paternity or birth record matters in Michigan:
- Acknowledgment of Paternity Form - paternity acknowledgment documents for other jurisdictions
- Michigan DCH 0838 Form - to record a legal name change or birth record amendment in Michigan
- Michigan DCH 3877 Form - another Michigan MDHHS vital records document
- Affidavit Denying Paternity - to formally challenge or deny an existing paternity claim