Blank Nevada Declaration Of Paternity PDF Template

The Nevada Declaration of Paternity form is a legal document that establishes the legal father of a child when both parents agree on paternity. This form must be completed and signed by both the mother and father, and it is essential for ensuring the child's rights and responsibilities are recognized. To begin the process of filling out the form, please click the button below.

Fill Out Nevada Declaration Of Paternity

Fill Out Nevada Declaration Of Paternity

Structure

The Nevada Declaration of Paternity form serves a crucial role in establishing legal fatherhood for children born in the state. This document must be completed accurately and submitted to the Office of Vital Records to ensure that the rights and responsibilities of parenthood are clearly defined. The form requires essential information, including the names, dates of birth, and addresses of both parents, as well as the child's name and birth details. Sections A and B must be filled out completely, and any changes to the child's name can be made at this time, although later changes may necessitate a court order. Furthermore, both parents must sign the document in the presence of a witness, affirming their understanding of the implications of this declaration. By signing, the father acknowledges his legal status, waives the right to genetic testing, and accepts the responsibilities associated with fatherhood, including financial support and potential custody rights. It is important to note that this declaration can be revoked within a specified timeframe, but the father's name will remain on the birth certificate unless a court determines otherwise. Once completed, copies of the document should be distributed to both parents and the hospital, while the original must be mailed to the appropriate state office for official filing.

Nevada Declaration Of Paternity Sample

State of Nevada

Declaration of Paternity

THIS IS A LEGAL DOCUMENT. TYPE OR PRINT IN BLACK INK. Parents are to be given a copy of this completed

document prior to sending to the Office of Vital Records (see bottom of page).

PLEASE READ PAGE 2 BEFORE COMPLETING.

SECTION A ALL PARTS OF SECTIONS A & B MUST BE COMPLETED AND SECTION D WITNESSED

NAME OF CHILD – FIRST

MIDDLE

LAST

Child

	SEX OF THE CHILD	DATE OF BIRTH (Month, Day, Year

	HOSPITAL NAME		CITY
Place of Birth
	COUNTY	STATE

	NAME OF FATHER – FIRST	MIDDLE	LAST
Father’s
Information
Information	DATE OF BIRTH (Month, Day, Year)	SOCIAL SECURITY NUMBER	STATE OR FOREIGN COUNTRY OF BIRTH

	CURRENT ADDRESS (Number, Street, City, State Zip)

	NAME OF MOTHER – FIRST	MIDDLE	LAST
Mother’s
Mother’s	DATE OF BIRTH (Month, Day, Year)	SOCIAL SECURITY NUMBER	STATE OR FOREIGN COUNTRY OF BIRTH
Information	DATE OF BIRTH (Month, Day, Year)	SOCIAL SECURITY NUMBER	STATE OR FOREIGN COUNTRY OF BIRTH
Information

	CURRENT ADDRESS (Number, Street, City, State Zip)

SECTION B As part of the filing procedure the child’s name may be changed at this time from the name appearing on the original birth certificate. A name change requested after this declaration is filed may require a court order. No white-out, erasures or cross-outs will be allowed in this section.

First

Middle

Last

SECTION C		READ OTHER SIDE BEFORE SIGNING
I declare under the penalty of perjury that:				I declare under the penalty of perjury that:
O	The information I have provided is true and correct.			O	The information I have provided is true and correct.
O	I am the legal father of the child named on this declaration.			O	I am the natural mother of the child named on this
O	I have read and understand the rights and responsibilities				declaration.
	described on the back of this form.			O	The man signing this form is the only possible father of this
O	I have been orally/audio informed of my rights and				child.
	responsibilities.			O	I have read and understand the rights and responsibilities
O	I understand that by signing this form I voluntarily consent				described on the back of this form.
	to the establishment of paternity and accept all of the rights			O	I have been orally/audio informed of my rights and
	and responsibilities as the legal father of this child.				responsibilities.
O	I wish to be added to the child’s birth certificate.			O	I understand that by signing this form I am establishing the
O	A genetic test has not determined that another man is the				man signing this form as the legal father of this child with all
	legally presumed father of this child.				the rights and responsibilities of a legal father.
O	There is no court order or other Acknowledgment of			O	I consent to adding the name of the man signing this form to
	Paternity form naming another man as the legal father of				the birth certificate of the child’s birth certificate
	this child.			O	A genetic test has not determined that another man is the
					legally presumed father of this child.
				O	There is no court order or other Acknowledgment of
					Paternity form naming another man as the legal father of
					this child.
SIGNATURE OF FATHER			DATE SIGNED	SIGNATURE OF MOTHER		DATE SIGNED

WITNESS OF FATHER’S SIGNATURE

DATE SIGNED

WITNESS OF MOTHER’S SIGNATURE

DATE SIGNED

Once this document is signed by all parties, please provide copies to the mother, father and hospital. The original document must be sent to the Nevada Office of Vital Records, 4150 Technology Way, Suite 104, Carson City, NV 89706 for filing.

Rights and Responsibilities of Acknowledging Paternity

By Signing This Declaration of Paternity:

1.You are acknowledging that you are the legal father of this child which, after 60 days, creates a legal determination that you are the father.

2.There will be no hearing or trial held on the issue of paternity at this time and you waive your right to genetic testing.

3.You have a duty to financially support the child, which is a separate issue from visitation and custody of the child.

4.A court order may order you to pay child support for the child until the child reaches 18 years of age, or 19 if still in high school, or otherwise declared free from your parental control by a court.

5.A court may order the withholding or assignment of your wages or commissions.

6.A court may order you to furnish health insurance for the child.

7.A court may order you to pay reasonable expenses of the mother’s pregnancy and confinement costs, which include birth expenses and public assistance provided on behalf of the child.

8.You have rights concerning custody and visitation of the child. Please be advised that physical custody of the child is generally granted to the biological unwed mother. If both father and mother cannot agree to an arrangement for visitation and/or custody, then you must pursue a separate legal action through the courts. You may need to hire a private attorney to assist you.

9.Unless you can show special circumstances of fraud, duress or material mistake of fact, under Nevada law you may not be able to petition the court to declare that you are not the legal father of the child. You may need to hire a private attorney to assist you.

10.This declaration of paternity can be revoked or rescinded within 60 days after the filing with the state registrar or within 60 days after you turn 18 years old, whichever is later. However, your name will

remain on the birth certificate until a court declares that you are not the legal father of this child.

__________________________________________________________________________________

Mailing Instructions

Please mail the completed form to the office of Vital Records, 4150 Technology Way, Suite 104, Carson City, Nevada 89706. There is a $40 charge to amend a certificate already on file in the office of Vital Records. This fee includes a certified copy of the amended or new record. Additional copies are $20 each. Please make your cashier’s check or money order out to Nevada Vital Records.

Please allow 4-8 weeks to process your request. Any questions concerning paternity actions should be addressed to the State Office of Vital Records at the above address, or by calling our office at (775)684-4242.

__________________________________________________________

Name

_____________________________________________________________________

Street Address or PO Box

_____________________________________________________________________

City

State

ZIP Code

Click for Nevada Declaration Of Paternity PDF

File Attributes

Fact Name	Details
Purpose	The Nevada Declaration of Paternity form is a legal document used to establish the legal father of a child when the parents are not married.
Governing Law	This form is governed by Nevada Revised Statutes (NRS) Chapter 126, which outlines paternity laws in the state.
Filing Procedure	After completion, the form must be submitted to the Nevada Office of Vital Records, and copies should be provided to both parents and the hospital.
Rights and Responsibilities	Signing the declaration establishes legal fatherhood, which includes financial support obligations and potential custody rights.
Revocation Period	The declaration can be revoked within 60 days of filing, allowing for changes if necessary, but the father's name remains on the birth certificate until a court orders otherwise.

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