If you are in Louisiana and considering establishing paternity for your child, it is important to be aware of all the options available. The state of Louisiana provides a user-friendly form that parents can use to establish paternity. In this blog post, we will provide an overview of what you need to know about the Louisiana Form Paternity process so that they can make an informed decision. We'll discuss why this form may be necessary, what information must be provided on the form, how the completion of this document affects legal rights and responsibilities for both parties involved in claiming paternity, and what happens when it comes time to enforce these rights or responsibilities. Ultimately, understanding how this works is essential for anyone navigating an issue as important as determining parentage!
Question | Answer |
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Form Name | Louisiana Form Paternity |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | aknowledgement of paternity louisiana, affidvant of acknowlegment of partinety louisiana, acknowledgement affidavit, acknowledgment of paternity affidavit |
STATE OF LOUISIANA
ACKNOWLEDGMENT OF PATERNITY AFFIDAVIT
CHILD BORN OF MARRIAGE
NOTICE: You must read and initial the NOTICE OF ALTERNATIVES, RIGHTS AND RESPONSIBILITIES before you sign the affidavit.
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SECTION I. CHILD'S INFORMATION |
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This is a legal document. Complete in ink and do not alter. |
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Name of Child - First, Middle, Last (As it appears on birth certificate) |
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Date of Birth - (Month, Day, Year) |
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Place of Birth - City, State |
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Name of Hospital |
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Name of Child - First, Middle, Last (As the parents want it to appear on birth certificate) |
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SECTION II. MOTHER'S INFORMATION |
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husband.- |
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Name of Mother - First, Middle, Last |
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(Maiden Name) |
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Date of Birth - (Month, Day, Year) |
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Mother's Address |
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Mother's Phone Number |
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Ex |
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Mother's Place of Birth - City, State |
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Race (Circle) American Indian, Black, White, Asian |
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Mother's Social Security Number |
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If Other, List: |
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Husband/& |
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Circle One: |
Yes |
No |
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Mother's Occupation |
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Mother's Employer - Name & Address |
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Was Mother Married at Time of Birth |
If Yes, Name and Address of Husband |
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Father |
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Does Mother Have Health Insurance |
If Yes, Name of Insurance Company and Policy No. |
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State Medicaid: |
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Circle One: |
Yes |
No |
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Circle One: |
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Yes |
No |
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Mother, |
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SECTION III. FATHER'S INFORMATION |
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Name of Father - First, Middle, Last |
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Date of Birth - (Month, Day, Year) |
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Support, |
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Father's Address |
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Father's Phone Number |
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Father's Place of Birth - City, State |
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Race (Circle) American Indian, Black, White, Asian |
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Father's Social Security Number |
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Childto |
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If Other, List: |
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Father's Employer - Name & Address |
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Father's Occupation |
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Copies |
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Father's Guardian (If Father under age 18) Print Name |
Guardian's Address |
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Guardian's Signature |
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Does Father Have Health Insurance |
If Yes, Name of Insurance Company and Policy No. |
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Records, |
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Circle One: |
Yes |
No |
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name appear on the Certificate of Birth of my child. I declare and affirm that I lived separate and apart from the legal presumptive father for a |
minimum of one hundred |
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MOTHER: I certify that I am the MOTHER of the child named above and that all statements made herein are true and correct to the best |
of my knowledge. I am |
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signing this Affidavit voluntarily and of my own free will. I acknowledge that the man named above is the biological father of my child. I give my consent to have his |
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Vital |
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and eighty days prior to the time of conception and have not reconciled since the beginning of the one hundred and |
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have received oral and written notice of the legal rights and consequences resulting from my acknowledging the paternity of my child and I understand this notice. |
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of |
__________________________________________ |
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___________________________________________ |
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Registrar |
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MOTHER'S SIGNATURE |
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DATE |
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WITNESS ____________________________________ |
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WITNESS _____________________________________ |
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to |
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State of Louisiana, Parish of _____________________________________ |
______________________________________________________________ |
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Signature then PRINT name of Notary |
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Original |
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Signed and Affirmed before me on the |
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day of |
___________________________ |
_______________________ |
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, |
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State Notary Registration Number |
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My Commission expires on |
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COPIES: |
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FATHER: I certify that I am the biological FATHER of the child named above and that all statements made herein are true and correct to the best of my knowledge. I |
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am signing this Affidavit voluntarily and of my own free will. I acknowledge that I have received oral and written notice of the legal rights and consequences resulting |
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from my acknowledging the paternity of my child and I understand this notice. |
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OF |
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___________________________________________ |
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FATHER'S SIGNATURE |
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DATE |
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DISTRIBUTION |
__________________________________________ |
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___________________________________________ |
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GUARDIAN'S SIGNATURE (If Father under age 18) |
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DATE |
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WITNESS ____________________________________ |
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WITNESS _____________________________________ |
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State of Louisiana, Parish of _____________________________________ |
______________________________________________________________ |
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Signature then PRINT name of Notary |
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Signed and Affirmed before me on the |
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day of |
___________________________ |
_______________________ |
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, |
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State Notary Registration Number |
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My Commission expires on |
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father. Further, I declare and affirm that I lived separate and apart from the mother for a minimum of one hundred and eighty days prior to the time of conception and |
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have not reconciled with her since the beginning of the one hundred and |
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__________________________________________ |
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___________________________________________ |
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DATE |
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WITNESS ____________________________________ |
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WITNESS _____________________________________ |
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State of Louisiana, Parish of _____________________________________ |
______________________________________________________________ |
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Signature then PRINT name of Notary |
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Signed and Affirmed before me on the |
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day of |
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_______________________ |
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State Notary Registration Number |
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My Commission expires on |
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Page 1 of 2
NOTICE OF ALTERNATIVES, RIGHTS AND RESPONSIBILITIES
This is a legal document. Signing the form is voluntary. Since this form has legal consequences, you may want to consult an attorney before signing.
When this Acknowledgement is properly completed and signed, the biological father's name is entered on the birth certificate in place of the name of the husband of the mother and the man becomes the legal father of the child. This acknowledgement has the same effect as a court order establishing paternity and can be used as a basis for entering a child support order.
If either of you is not sure that this man is the biological father of this child, you should not sign the form. You should have a genetic test.
Mothers who are married to someone other than the biological father or were married to someone other than the father when the child was conceived, or have been divorced for less than three hundred days must have the agreement of their
RIGHTS AND RESPONSIBLITIES OF A PARENT
•Either party has the right to request a genetic test to determine if the alleged father is the biological father of the child.
•The alleged father has the right to consult an attorney before signing an acknowledgement of paternity.
•If the alleged father does not acknowledge the child, the mother has the right to file a paternity suit to establish paternity. After the alleged father signs an acknowledgement of paternity, he has the right to pursue visitation with the child and the
•right to petition for custody.
•Once an acknowledgement of paternity is signed, the father may be obligated to provide child support for the child.
Once an acknowledgement of paternity is signed, the child will have inheritance rights and any rights afforded children born
•in wedlock.
A party who executed a notarial act of acknowledgement may rescind the act, without cause, before the earlier of the
•following:
-Sixty days after the signing of the act, in a court hearing for the limited purpose of rescinding the acknowledgment.
-A court hearing relating to the child, including a child support proceeding, in which the father is involved.
Thereafter, the acknowledgement of paternity may be voided only upon proof, by clear and convincing evidence, that such act was induced by fraud, duress, or material mistake of fact, or that the father is not the biological father.
BENEFITS FOR YOUR CHILD
Every child has the right to know his or her mother and father and benefit from a relationship with both parents.
Both of your names will appear on the child's birth certificate.
It will be easier for your child to learn medical histories of both parents and to benefit from health care coverage available to you.
It will be easier for your child to receive benefits such as dependent or survivor's benefits from the Veteran's Administration or from the Social Security Administration as well as share any estate should you die.
To indicate that you have read and understood this notice of alternatives, rights and responsibilities, please initial below. If you require further assistance you may call us at (504) 593 - 5100.
Mother’s Initials ________________________
Father’s Initials ________________________
Page 2 of 2