Have you encountered the Ph 3343 form? It may look intimidating, but understanding it is essential to properly filing your taxes and ensuring that they are accurate. In this blog post, we'll explain what the Ph 3343 form is, why it's important to understand how to complete it correctly, and provide step-by-step guidance on filling out the form. Let's dive in!
| 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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