The Ohio Department of Job and Family Services provides a crucial tool in the adoption process through the JFS 01695 form, designed for searching the Ohio Putative Father Registry. This document is essential for individuals or entities attempting to determine if a putative (alleged) father has registered any claim to paternity regarding a child. The form requires detailed information about the mother, father, and child involved, ensuring that the search is precise and accurate. It solicits identifying details ranging from names and social security numbers to more specific data such as races, birth dates, and addresses. Moreover, the form accommodates the inclusion of the requesting party's details, specifying their relation to the case, whether they are a mother, an attorney, a private child placing agency, or a public children services agency, signifying the vast spectrum of users that might need to interact with this registry. This procedural document is not merely a formality but a pivotal step in safeguarding the rights of putative fathers, providing them with an opportunity to be notified and involved in the adoption process, hence preserving the integrity of family law practices in Ohio.
| Question | Answer |
|---|---|
| Form Name | Form Jfs 01695 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | DHS_1695_Applic ation_For_Searc h putative father registry search ohio form |
Ohio Department of Job and Family Services
APPLICATION FOR SEARCH OF OHIO PUTATIVE FATHER REGISTRY
Ohio Putative Father Registry
P.O. Box 182709
Columbus, Ohio
Phone:
Please perform a search of the Ohio Putative Registry. Please advise if a Putative Father Registration form is on file with respect to the mother, child or father identified below.
SECTION I: IDENTIFYING INFORMATION ABOUT THE MOTHER
Mother's LAST Name
FIRST Name
MIDDLE Name
Social Security Number |
Phone Number |
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Date of Birth (MM/DD/YY) |
Race |
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Other names by which mother may be known |
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3. |
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2. |
4. |
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Home Address |
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City
State
Zip Code
Mother's Mailing Address/Apt. (If different than above)
City
State
Zip Code
SECTION II: IDENTIFYING INFORMATION ABOUT THE FATHER
Father's LAST Name
FIRST Name
MIDDLE Name
Social Security Number |
Phone Number |
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Date of Birth (MM/DD/YY) |
Race |
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Other names by which father may be known |
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1. |
3. |
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2. |
4. |
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Home Address |
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City
State
Zip Code
Father's Mailing Address/Apt. (If different than above)
City
State
Zip Code
JFS 01695 (Rev. 3/2008) |
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SECTION III: IDENTIFYING INFORMATION ABOUT THE CHILD
Child's LAST Name |
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FIRST Name |
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MIDDLE Name |
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Race |
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Sex |
Male |
Female |
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Estimated Due Date of Mother (MM/YY) |
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Child's Date of Birth (MM/DD/YY) |
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Child's Birthplace |
City |
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State |
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Hospital name, if any |
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Birth Certified
Yes
No
Multiple Birth
Yes
No
SECTION IV: INFORMATION ABOUT INTERESTED PARTY REQUESTING SEARCH OF REGISTRY
Name of Firm or Agency (if applicable)
Name of Person(s) Requesting Search
Phone Number
Fax Number
Person Requesting Search is
Attorney Arranging Adoption of Minor
Attorney Representing Mother of Minor Mother of Child
Private Child Placing Agency (PCPA) or Attorney Representing PCPA Public Children Services Agency (PCSA) or Attorney Representing PCSA
Address for Notice of Search Results
City
State
Zip
I certify that the information provided in this Search Request Form is true and correct to the best of my knowledge. I further certify that I am requesting this search of the Putative Father Registry to determine whether a putative father is registered in relation to the child referenced above, who is or may be the subject of an adoption petition, and the information obtained will be used for this purpose only.
Signature of Individual Requesting Search
Date
SECTION V: TO BE COMPLETED BY THE OHIO PUTATIVE FATHER REGISTRY
Date Request Received (MM/DD/YY)
ODJFS Staff
Search Request Record Locator Number
Outcome
JFS 01695 (Rev. 3/2008) |
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