In the sphere of legal documentation and vital records, the Ph 3343 form emerges as a crucial document within the state of Tennessee. This form, rooted in the governance of the Tennessee Department of Health Office of Vital Records, plays a pivotal role in the amendment of a child's birth certificate following an order of parentage. The legal framework facilitating this operation is anchored in Sections 36-2-313 and 68-3-310 of the Tennessee Code Annotated, delineating the procedural nuances and prerequisites for the issuance of a new birth certificate that reflects changed parentage details. Typically necessitated after a court's decree recognizing or altering parental relationships, the form demands comprehensive details spanning from the court's identification to intricate specifics about the child whose certificate is subject to amendment. This encompasses the child's name prior to and following the court's judgment, alongside pertinent personal information such as date of birth, place of birth, and social security number. Moreover, it requires detailed submissions concerning the identified legal parents, encapsulating their names, birth details, residential addresses, and other significant data. The submission process further includes an obligatory fee and specific instructions on where and how to file this application, thereby ensuring that new birth certificates align with the legal realities of familial structures post-adjudication. Thus, navigating the intricacies of the Ph 3343 form is essential for those seeking to align birth records with judicial determinations of parentage in Tennessee.
| Question | Answer |
|---|---|
| Form Name | Ph 3343 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | notification parentage, ph3343 form, 3343 birth certificate form, tn notification parentage |
TENNESSEE DEPARTMENT OF HEALTH
OFFICE OF VITAL RECORDS
NOTIFICATION OF ORDER OF PARENTAGE AND APPLICATION
FOR A NEW BIRTH CERTIFICATE
Tennessee Code Annotated Sections
Name of Court ___________________________________________________ |
Today’s Date _____________________ |
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County of _________________________ |
City of _______________________ |
State of __________________________ |
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Docket Number ____________________ |
Date of Decree _________________ |
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SECTION I |
INFORMATION CONCERNING CHILD |
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Name of Child Prior to Court Order ____________________________________________________________________
Social Security Number __________________________________________Date of Birth _________________________
Place of Birth _______________________________________________________ Sex _________________________
CITY |
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COUNTY |
STATE |
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SECTION II |
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INFORMATION FOR NEW CERTIFICATE OF BIRTH |
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Name of Child _________________________ ________________________ |
_________________________________ |
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As Determined by Court |
First |
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Middle |
Last |
FATHER OF CHILD
Full Name
Date of Birth
Birthplace
STATE OR FOREIGN COUNTRY
Residential Address
City |
State |
Zip Code |
Mailing Address (if different)
Home Telephone Number
Social Security Number
Driver’s License Number
Employer
Employer’s Address
Employer’s Telephone Number
Health Insurance
Policy Number
MOTHER OF CHILD
Full Legal Name
Full Maiden Name
Date of Birth
Residential Address
City |
State |
Zip Code |
Mailing Address (if different)
Home Telephone Number
Social Security Number
Driver’s License Number
Employer
Employer’s Address
Employer’s Telephone Number
Health Insurance
Policy Number
INSTRUCTIONS |
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1. |
A new certificate of birth will be prepared in accordance with the law upon the completion and submission of this form |
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and a certified copy of the court’s order of parentage. |
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2. |
Enclose the $30.00 fee required for preparation and issuance of a new birth certificate. Make check payable to |
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Tennessee Vital Records. |
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3. |
Mail to: |
Tennessee Vital Records |
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Andrew Johnson Tower, 1st Floor |
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710 James Robertson Parkway |
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Nashville, TN 37243 |
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PH 3343 (Rev. 06/15) |
RDA 10112 |
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