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Overview

In Arizona, establishing paternity for a child born out of wedlock is a process that involves completing the CS-127 Acknowledgment of Paternity form, provided by the Arizona Department of Economic Security, Division of Child Support Services. This form ensures the legal recognition of a father, offering the child various rights and benefits, including the ability to inherit, access health care coverage, and establish a formal relationship with both parents. It outlines specific instructions for completion, such as the use of black ink, no alterations, and the necessity for all sections to be filled out accurately. Importantly, this form is not applicable if the child's mother was married during the child’s birth or in the ten months preceding it, unless a Wafter of Paternity Affidavit accompanies it. Furthermore, the process mandates that the form be signed in the presence of a witness or notary public, with each parent's legal name used for all documentation. For children over the age of three months who require a name change, a separate procedure with the Office of Vital Records is required. Additionally, this Acknowledgment must be mailed in its entirety to the specified address, ensuring that any request for a birth certificate is handled separately. The form also includes vital information on how the child benefits from the acknowledgment, emphasizing the importance of both parents' roles in the child’s life.

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CS-127 (11-17)

GO TO FORM

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

Division of Child Support Services

ACKNOWLEDGMENT OF PATERNITY

En Español

READ ALL INSTRUCTIONS CAREFULLY AND REMOVE THIS PAGE BEFORE COMPLETION

The purpose of this form is to acknowledge paternity for a child born out of wedlock.

This Acknowledgment of Paternity IS NOT applicable if the mother of the child was married at the time of birth or was married at any time in the ten months immediately preceding such birth pursuant to A.R.S. § 25-814, unless accompanied by a Waiver of Paternity Affidavit.

COMPLETION

Read the “Acknowledgment of Paternity” (CS-127) and the Notice of Alternatives, The legal Consequences and the Rights and Responsibilities.

Only use BLACK INK. Colored inks ARE NOT ACCEPTABLE. Type or print all required information except where sig- natures are required. The Spanish translation on the last page is for reference only. Please complete the English side.

DO NOT MAKE CORRECTIONS ON THE FORM. Forms with crossouts, erasures, alterations, etc., will invalidate the Acknowledgment. DO NOT SUBMIT AN ACKNOWLEDGMENT CONTAINING SUCH CHANGES. If you make a mistake, ask for a new form and begin again.

Fill in every blank or box on the form. Incomplete or incorrect information may cause delays in the filing of the

Acknowledgment.

In cases of multiple births, a separate Acknowledgment for each child must be completed.

The Acknowledgment must be signed in the presence of a Witness or Notary Public. Each parent must sign their name on all copies of the form and each signature must be witnessed or notarized. Each parent must show the

Witness or Notary appropriate, valid identification. The parents should use their legal name only. Nicknames, short- ened name, etc., SHOULD NOT be used. Your Legal Name is the one that appears on your birth certificate, or other official documents.

If both parents cannot sign the Acknowledgment at the same time, use a separate Acknowledgment. When signing separate Acknowledgments the child’s information should be identical on each form. All blanks must be completed and both Acknowledgments submitted together.

If you are changing the child’s name, after 3 months of age only the last name of the child can be changed using this form. Any other changes must be requested through the Office of Vital Records.

If completing this Acknowledgment away from the hospital, remember to sign in the presence of a Notary Public or qualified Witness. A qualified Witness must be at least 18 years old and not related to either parent by blood or marriage. Notary Publics are listed in the telephone directory. RETURN ALL PAGES (excluding completion instruc- tions) OF THE ACKNOWLEDGMENT. Mail the entire document to:

DCSS Hospital Paternity Program – HPP

PO BOX 64533

Phoenix, AZ 85082

If you require a copy of the birth certificate, mail your application monies, along with the birth certificate application, to the address listed on the birth certificate application. DO NOT mail any monies to the Hospital Paternity Program.

DEFINITIONS

DES - Department of Economic Security

DHS - Department of Health Services

DCSS - Division of Child Support Services

HOW WILL YOUR CHILD BENEFIT IF YOU SIGN THIS FORM?

Every child has the right to know his or her mother and father and benefit from a relationship with both parents.

Your child will have two legal parents.

Your child has a right to financial support from both parents.

It will be easier for your child to learn the medical histories of both parents and to benefit from health care coverage available to you.

It will be easier for your child to inherit through you and receive benefits such as dependent or survivor’s benefits from Veterans Affairs or the Social Security Administration

Equal Opportunity Employer/Program • Under Titles VI and VII of the Civil Rights Act of 1964 (Title VI & VII), and the Americans with Disabilities Act of 1990 (ADA), Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Title II of the Genetic Information Nondiscrimination Act (GINA) of 2008; the Department prohibits discrimination in admissions, programs, services, activities, or employment based on race, color, religion, sex, national origin, age, dis- ability, genetics and retaliation. To request this document in alternative format or for further information about this policy, contact 602-252-4045; TTY/TDD Services: 7-1-1. • Free language assistance for DES services is available upon request. Ayuda gratuita con traducciones relacionadas con los servicios del DES esta disponible a solicitud del cliente.

CS-127 (11-17) Page 2

 

 

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

 

 

NO.

 

Clear the Form

 

 

 

 

 

 

 

 

 

 

 

 

 

ACKNOWLEDGMENT OF PATERNITY

 

 

 

 

 

 

 

 

Formulario en Español

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE

PRINT CLEARLY. Complete in BLACK INK. DO NOT ALTER, LEGAL DOCUMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHILD’S INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

CHILD’S NAME (First, Middle, Last, Suffix) AS IT APPEARS ON THE BIRTH CERTIFICATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BIRTHDATE (MM/DD/YY)

 

 

 

 

 

 

 

 

MALE

FEMALE PLACE OF BIRTH

CITY

 

 

 

 

 

 

 

 

 

 

 

COUNTY

 

 

 

 

 

 

 

STATE

 

HOSPITAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW YOU WANT THE CHILD’S NAME TO APPEAR ON THE BIRTH CERTIFICATE

 

 

 

 

IF THE CHILD’S NAME HAS NOT CHANGED, PLEASE PRINT THE CHILD’S NAME AS IT APPEARS ON THE ORIGINAL BIRTH CERTIFICATE

 

FIRST

 

 

MIDDLE

 

 

 

 

LAST

 

 

 

 

 

 

 

SUFFIX (Jr., II)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOTHER’S INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

MIDDLE NAME

 

 

 

LAST NAME

 

 

 

 

 

MAIDEN NAME

 

 

BIRTHDATE (MM/DD/YYYY)

 

 

 

 

 

SOC. SEC. NO.

 

 

 

 

 

 

 

 

 

 

 

AREA CODE AND PHONE NO.

 

 

 

 

 

PLACE OF BIRTH (City, State)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTRY OF BIRTH

 

 

 

 

 

 

 

 

 

 

ADDRESS: (Street, Apt. No., City, State, ZIP)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYER

 

 

 

 

 

 

 

 

 

 

 

OCCUPATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FATHER’S INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

 

MIDDLE NAME

 

 

 

 

 

 

 

 

 

 

 

 

LAST NAME

 

 

 

 

 

BIRTHDATE (MM/DD/YYYY)

 

 

 

 

 

SOC. SEC. NO.

 

 

 

 

 

 

 

 

 

 

 

AREA CODE AND PHONE NO.

 

 

 

 

 

PLACE OF BIRTH (City, State)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTRY OF BIRTH

 

 

 

 

 

 

 

 

 

 

ADDRESS: (Street, Apt. No., City, State, ZIP)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYER

 

 

 

 

 

 

 

 

 

 

 

OCCUPATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The mother was legally married at the time of conception and/or birth of the child.

 

A Waiver of Paternity Affidavit completed by

 

 

A court order or decree of dissolution which rebuts paternity is attached.

the present/former husband is attached.

 

This Acknowledgment is being signed voluntarily with no threat or harm or duress. I have received written and oral notice and have read the NOTICE OF ALTERNATIVES, THE LEGAL CONSEQUENCES AND RIGHTS AND RESPONSIBILITIES. I understand my alternatives, the legal consequences and the rights and responsibilities. I swear and affirm under penalty of perjury pursuant to A.R.S. §13-2702 that this application and any accompanying documents have been examined by me and to the best of my knowledge and belief are true and correct.

SIGNATURE OF MOTHER (Sign only in presence of Witness)

 

DATE (MM/DD/YY

 

SIGNATURE OF FATHER (Sign only in presence of Witness)

 

DATE (MM/DD/YY)

 

SIGNATURE OF WITNESS (TO BE COMPLETED BY THE [Check one]:

HOSPITAL

GOVERNMENT AGENCY

OTHER)

SIGNATURE OF WITNESS (TO BE COMPLETED BY THE [Check one]:

HOSPITAL

GOVERNMENT AGENCY

OTHER)

WITNESS MUST BE AT LEAST 18 YEARS OF AGE AND NOT RELATED BY BLOOD OR MARRIAGE.

PRINTED NAME OF WITNESS

 

 

 

 

PRINTED NAME OF WITNESS

 

 

ADDRESS

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

-------------------------------------------------------------------

 

 

 

 

 

 

NOTARY SECTION ------------------------------------------------------------------

 

 

 

 

 

 

 

 

 

 

 

TO BE COMPLETED BY A NOTARY PUBLIC ONLY IF NOT WITNESSED ABOVE

 

 

State of Arizona, County of

 

 

 

 

 

State of Arizona, County of

 

 

 

Subscribed and sworn or affirmed before me

 

 

Subscribed and sworn or affirmed before me

 

 

this

 

day of

 

 

,

 

 

this

 

day of

 

,

 

NOTARY PUBLIC

NOTARY PUBLIC

 

 

 

 

 

 

 

 

PLACE NOTARY SEAL HERE

 

 

 

PLACE NOTARY SEAL HERE

My Commission expires

 

My Commission expires

 

 

 

 

 

 

 

 

 

Check this box if form completed at the hospital.

 

Paternity Date

 

 

 

 

 

ALL COPIES OF THIS DOCUMENT MUST HAVE ORIGINAL SIGNATURES

*B*

 

 

 

For Office Use Only

THIS ACKNOWLEDGMENT IS BEING SIGNED VOLUNTARILY WITH NO THREAT OR HARM OR DURESS

 

 

 

 

 

 

 

 

 

 

 

CS-127 (11-17) Page 3

NOTICE OF ALTERNATIVES, THE LEGAL CONSEQUENCES

AND RIGHTS AND RESPONSIBILITIES

PLEASE READ THIS INFORMATION CAREFULLY BEFORE YOU SIGN THE FORM The purpose of this form is to acknowledge paternity for a child born out of wedlock.

We, the natural mother and natural father, declare that the information provided is true and correct. We acknowledge that the father named is the only possible father of the child named.

If the mother was married at any time in the ten months immediately preceding the birth or the child is born within ten months after the marriage is terminated by death, annulment, declaration of invalidity or dissolution of marriage or after the court enters a decree of legal separation, a Waiver of Paternity Affidavit must accompany this document pursuant to A.R.S. § 25-814.

I understand that if the current/former husband’s location is unknown to the mother, the mother will be required to apply for IV-D Services and The Division of Child Support Services will attempt to locate the current/former husband.

I understand that by signing this acknowledgment we are giving up our right to a court hearing to determine paternity as well as the right to have genetic testing done to determine the parentage of this child.

I further understand we may have a right to rescind or challenge this acknowledgment as outlined in A.R.S. § 25-812. I understand the signing of this acknowledgment will result in the legal determination of paternity.

I understand that upon the determination of paternity, both parents have a legal obligation to support their child pursuant to A.R.S. § 25-501 as well as other duties imposed by Arizona law.

I understand this paternity determination is not a custody order but provides a basis for determining issues related to cus- tody and visitation and affords the parents all rights and responsibilities provided by Arizona law.

I understand that either parent has a right to cancel the Acknowledgment of Paternity by completing an Affidavit of Paterni- ty Rescission within 60 days from the date of the last witnessed/notarized signature on the Acknowledgment and sending it to the Hospital Paternity Program pursuant to A.R.S. § 25-812. I have read the information provided and received oral notification of our rights and responsibilities by either speaking to staff, viewing a paternity video or phoning 1-800-485- 6908.

A voluntary Acknowledgment of Paternity filed with The Department of Economic Security or The Department of Health Services has the same force and effect as a Superior Court judgment pursuant to A.R.S. § 25-812.

I further declare this statement to be made for recording with the Clerk of the Superior Court, the Department of Economic Security or the Department of Health Services pursuant to A.R.S. § 25-812 and hereby consent and request that the birth certificate be amended to show the father’s name and to show the child’s name as requested on the front of the Acknowl- edgment of Paternity. Please note: Any questions regarding name changes should be directed to the Arizona Department of Health Services, Office of Vital Records at (602) 364-1300.

I understand that if it is deemed appropriate by DES, this acknowledgment may be used to obtain a paternity order in any Arizona county having venue.

I understand that I am required to provide my Social Security Number pursuant to 42 USC § 652(a)(7) and 666(a)(5)(IV). DES/DCSS will use this information to establish paternity and if appropriate, to establish and enforce a child support order. I swear or affirm under penalty of perjury pursuant to A.R.S. § 13-2702 that this application and/or accompanying docu- ments have been examined by me and to the best of my knowledge and belief are true and correct.

WHAT DOES IT MEAN IF YOU SIGN THIS FORM?

By signing this Acknowledgment of Paternity you are legally establishing your child’s paternity. Paternity means legal fatherhood.

Signing this form is voluntary. You should not sign this form if you have been threatened or coerced.

This Acknowledgment does not automatically give the father visitation or custody rights, but he may use it to ask the Court for them.

Either parent can rescind this form within 60 days of the last signature on the form by signing an Affidavit of Paternity Re- scission (CS-258). To request an Affidavit of Paternity Rescission, contact the Hospital Paternity Program at 1-800-485-6908.

CS-127 (11-17) Page 4

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

Office of Vital Records

ADDITIONAL INFORMATION REGARDING THE FATHER LISTED ON

THE ACKNOWLEDGMENT OF PATERNITY (for birth certificate processing purposes)

The Arizona Department of Health Services’ Office of Vital Records is required to collect and report data to the Department of Health and Human Services’ National Center for Health Statistics (NCHS). Please complete the data below in order to capture this information for statistical purposes. Thank you in advance for completing this information.

CHILD’S NAME (First, Middle, Last, Suffix)

 

 

BIRTHDATE

 

MOTHER’S NAME (Last, First, M.I.)

 

FATHER’S NAME (Last, First, M.I.)

 

FATHER’S EDUCATION (Check One)

What is the highest level of schooling you will have completed at the time of the child’s delivery? Check one of the following boxes that best describes your education. If you are currently enrolled, check the box that indicates the previous grade or highest degree received.

8th grade or less

Associate degree (e.g. AA, AS )

9th – 12th grade, no diploma

Bachelor’s degree (e.g. BA, AB, BS )

High school graduate or GED completed

Master’s degree (e.g. MA, MS MEng, Med, MSW, MBA )

Some college credit, but no degree

Doctorate degree (e.g. PhD, EdD) or

 

Professional degree (e.g. MD, DDS, DVM, LLB, JD )

 

 

 

FATHER’S RACE (Check All That Apply)

White

Black, African American

American Indian or Alaska Native (*see list below) Primary or Enrolled tribe:

Additional Tribe:

Additional Tribe:

Additional Tribe: Asian Indian Chinese Filipino Japanese Korean

Other Asian

Specify:

Specify:

Native Hawaiian

Guamanian or Chamorro

Samoan

Other Pacific Islander

Specify:

Specify:

Other

Specify:

Specify:

Unknown

Refused

Not Obtainable

*Please select the appropriate Arizona tribe(s) the father is affiliated with from the list provided below and print the tribe name in the space(s) provided above. If the father is affiliated with a non-Arizona tribe, please write “other” in the space provided or print the name of the non-Arizona tribe.

Ak Chin Indian Community

Navajo Tribe

 

 

Camp Verde Yavapai Apache

Pascua Yaqui

 

 

Cocopah Tribe

Prescott Yavapai Indian Community Quechan Tribe

 

Colorado River Indian Tribes

Salt River Indian Community (Pima)

 

Fort Mohave Tribe

San Carlos Apache Tribe

 

 

Ft. McDowell Mohave-Apache Community Gila River Indian Community

San Juan Southern Paiute Band

 

(Pima) Havasupai Tribe

Tohono O’Odham Tribe (Papago)

 

Hopi Tribe

Tonto Apache

 

 

Hualapai Tribe

White Mountain Apache Tribe (Fort Apache)

 

Kaibab Band of Paiute Indian

 

 

 

 

 

 

 

FATHER’S HISPANIC ORIGIN (Check One)

 

 

No, not Spanish, Hispanic or Latino

Dominican, Columbian)

 

 

Yes, Mexican, Mexican American, Chicano

Specify:

 

 

 

Yes, Puerto Rican

Specify:

 

 

 

Yes, Cuban

 

 

Unknown

Refused

Not Obtainable

Yes, other Spanish/Hispanic/Latina (e.g. Spaniard, Salvadoran,

 

 

 

 

CS-127 (11-17) Page 5

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

 

Division of Child Support Services (División de Servicio de Sustento para Menores)

 

RECONOCIMIENTO DE PATERNIDAD

LEA DETENIDAMENTE TODAS LAS INSTRUCCIONES Y DESPRENDA ESTA HOJA ANTES DE LLENAR EL FORMULARIO

El propósito de este formulario es reconocer paternidad para un niño nacido a una madre soltera. Conforme a A.R.S. §25-814(b), este Reconocimiento de Paternidad NO ES aplicable si la madre del niño estuvo casada cuando nació el niño o en cualquier momento durante los diez meses inmediatamente anteriores al nacimiento del niño, salvo que cuando esté acompañado por una Renuncia de Afidávit de Paternidad.

PARA LLENAR EL FORMULARIO

Lea el “Reconocimiento de Paternidad” (CS-127) y el Aviso de Alternativos, “las Consecuencias legales” y “los Derechos y Res- ponsabilidades’

Use sólo TINTA NEGRA. NO SE ACEPTARÁ tintas en colores. Escriba a máquina o con letra de molde toda la información reque- rida excepto donde haya que firmar. La traducción al español en la última página es sólo para referencia; sírvase llenar el lado en inglés.

NO HAGA CORRECCIONES EN EL FORMULARIO. Formularios con tachones, borraduras, alteraciones etc. invalidarán el Reco- nocimiento. NO PRESENTE UN RECONOCIMIENTO QUE CONTENGA TALES MODIFICACIONES. Si comete un error, pida otro formulario y empiece de nuevo.

Llene cada uno de los espacios o cajas del formulario. La información incompleta o incorrecta puede causar demoras en el registro del Reconocimiento.

En casos de nacimientos múltiples hay que llenar un Reconocimiento individual para cada niño.

El reconocimiento se habrá de firmar ante un testigo o notario público. La madre y el padre tienen que firmar sus nombres en todas las copias del formulario y cada una de las firmas tiene que ser certificadas ante un testigo o notario público. La madre y el padre tienen que mostrar identificación apropiada y válida al testigo o notario. Ambos padres deberán utilizar solamente sus nombres legales. NO SE PODRÁ utilizar apodos, nombres acortados, etc. Su nombre legal es el que aparece en su certificado de nacimiento u otros documentos oficiales.

Si ambos padres no pueden firmar el Reconocimiento a la vez, use Reconocimientos separados. Cuando firmen Reconocimientos separados, la información sobre el niño tiene que ser idéntica en ambos formularios. Todos los espacios se tienen que llenar, y presentarse ambos Reconocimientos simultáneamente.

Si usted va a cambiar el nombre del niño, después de los 3 meses de edad se puede cambiar solamente el apellido del niño usando este formulario. Se debe pedir cualquier otro cambio por la oficina de estadísticas demográficas

Si llenan este Reconocimiento fuera del hospital, recuerde certificar las firmas ante un notario público o un testigo calificado. Un testigo calificado tiene que tener por lo menos 18 años de edad y no tener parentesco sanguíneo o por matrimonio con ninguno de los padres. Los notarios públicos están listados en el directorio telefónico. DEVUELVA TODAS LAS PÁGINAS DEL RECONOCI- MIENTO (excepto las instrucciones para llenarlo). Envíe el documento completo a:

DCSS Hospital Paternity Program – HPP

PO BOX 64533

Phoenix, AZ 85082

Si requiere una copia del certificado de nacimiento, envíe su dinero de solicitud, también con la solicitud por certificado de naci- miento, a la dirección listada en la solicitud por certificado de nacimiento. NO envíe ningún dinero al Programa de Paternidad en los Hospitales.

DEFINICIONES

DES - Departamento de Seguridad Económica

DHS - Departamento de Servicios de Salud

DCSS - División de Servicio de Sustento para Menores

¿CÓMO SE APROVECHARÁ SU HIJO SI USTED FIRME ESTE FORMULARIO?

Cada niño tiene derecho de conocer a su madre y padre y sacar provecho de una relación con ambos padres.

Su hijo tendrá tanto una madre como un padre legal.

Su hijo tiene derecho de asistencia financiera de ambos padres.

Será más fácil para su hijo obtener las historias médicas de ambos padres y aprovecharse la cobertura médica disponible a usted.

Será más fácil para su hijo heredar a través de usted y recibir beneficios tales como beneficios para dependientes o sobrevivientes de la Administración de Veteranos o la Administración de Seguro Social.

Programa y Empleador con Igualdad de Oportunidades • Bajo los Títulos VI y VII de la Ley de los Derechos Civiles de 1964 (Títulos VI y VII) y la Ley de Estadounidenses con Discapacidades de 1990 (ADA por sus siglas en inglés), Sección 504 de la Ley de Rehabilita- ción de 1973, Ley contra la Discriminación por Edad de 1975 y el Título II de la Ley contra la Discriminación por Información Genética (GINA por sus siglas en inglés) de 2008; el Departamento prohíbe la discriminación en la admisión, programas, servicios, actividades o empleo basado en raza, color, religión, sexo, origen, edad, discapacidad, genética y represalias. Para obtener este documento en otro formato u obtener información adicional sobre esta política, llame al 602-252-4045; Servicios de TTY/TDD: 7-1-1. • Ayuda gratuita con traducciones relacionadas a los servicios del DES está disponible a solicitud del cliente. Free language assistance for DES services is available upon request

CS-127 (11-17) Page 6

Form in English

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

NÚM. Remueva el Formulario

RECONOCIMIENTO DE PATERNIDAD

FAVOR DE ESCRIBIR CLARAMENTE. Llene con TINTA NEGRA. NO ALTERE ESTE DOCUMENTO LEGAL

INFORMACIÓN DEL NIÑO

NOMBRE DEL NIÑO (Primer nombre, segundo, apellido, sufijo) COMO APARECE EN EL CERTIFICADO DE NACIMIENTO

FECHA DE NACIMIENTO (Mes/día/año)

 

MALE

FEMALE LUGAR DE NACIMIENTO CIUDAD

 

CONDADO

 

ESTADO

 

 

HOSPITAL

 

CÓMO DESEA QUE APAREZCA EL NOMBRE DEL NIÑO EN EL CERTIFICADO DE NACIMIENTO

SI EL NOMBRE DEL NIÑO NO HA CAMBIADO, ESCRIBA EL NOMBRE TAL COMO APARECE EN EL CERTIFICADO DE NACIMIENTO ORIGINAL

PRIMER NOMBRE

 

 

SEGUNDO NOMBRE

 

 

 

 

APELLIDO

 

 

 

 

 

 

SUFIJO (Jr., II)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMACIÓN DE LA MADRE

PRIMER NOMBRE

 

 

SEGUNDO NOMBRE

 

 

 

APELLIDO

 

 

 

 

 

 

 

NOMBRE DE SOLTERA

 

FECHA DE NACIMIENTO (Mes/día/año)

 

 

 

NÚM. DE SEGURO SOCIAL

 

 

 

CÓDIGO DE ÁREA Y TELÉFONO

 

LUGAR DE NACIMIENTO (Ciudad, estado)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAÍS DE NACIMIENTO

 

DOMICILIO (Calle, núm. de apartamento, ciudad, estado, código postal ZIP)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLEADOR

 

 

 

 

 

 

 

 

 

OCUPACIÓN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMACIÓN DEL PADRE

PRIMER NOMBRE

 

 

 

 

 

SEGUNDO NOMBRE

 

 

 

 

 

 

 

 

 

 

 

 

APELLIDO

 

FECHA DE NACIMIENTO (Mes/día/año)

 

 

 

NÚM. DE SEGURO SOCIAL

 

 

 

CÓDIGO DE ÁREA Y TELÉFONO

 

LUGAR DE NACIMIENTO (Ciudad, estado)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAÍS DE NACIMIENTO

 

DOMICILIO (Calle, núm. de apartamento, ciudad, estado, código postal ZIP)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLEADOR

 

 

 

 

 

 

 

 

 

OCUPACIÓN

 

 

 

 

 

 

 

 

 

 

 

La madre estaba casada legalmente al momento de la concepción/el nacimiento del niño. Adjunto hay una orden del tribunal o decreto de disolución que refuta la paternidad.

Adjunto hay una renuncia de Affidávit de Paternidad llenado por del esposo actual/anterior.

Este Reconocimiento de Paternidad se firma voluntariamente, sin amenaza, ni perjuicio ni por coacción. He recibido aviso escrito y verbal, y he leído el AVISO DE LAS OPCIONES, LAS CONSECUENCIAS LEGALES Y LOS DERECHOS Y RESPONSABILIDADES. Comprendo mis opciones, las consecuencias legales y los derechos y las responsabilidades. Juro y afirmo bajo pena de perjurio conforme a A. .S. §13-2702 que he examinado esta solicitud y todos los documentos adjuntos y que según mi leal entender y saber, son ciertos y correctos.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRMA DE LA MADRE

 

 

 

 

FECHA (Mes/día/año)

FIRMA DEL PADRE

 

 

FECHA (Mes/día/año)

(Firma solamente en presencia de un Testigo)

 

 

(Firma solamente en presencia de un Testigo)

 

 

 

 

 

 

 

NO FIRME AQUÍ

 

 

 

 

 

FIRMA DEL TESTIGO (SERÁ LLENADO POR [Marque uno] :

 

FIRMA DEL TESTIGO (SERÁ LLENADO POR [Marque uno] :

 

HOSPITAL

 

 

GUBERNAMENTAL

 

 

OTRO)

 

HOSPITAL

AGENCIA GUBERNAMENTAL

 

OTRO)

AGENCIAINVALIDO PARA REGISTRO

 

 

 

 

 

 

EL TESTIGO HABRÁ DE TENER POR LO MENOS 18 AÑOS DE EDAD Y NO TENER PARENTESCO SANGUÍNEO NI POR MATRIMONIO.

NOMBRE DEL TESTIGO CON LETRA DE MOLDE

 

 

 

 

 

 

 

NOMBRE DEL TESTIGO CON LETRA DE MOLDE

 

 

 

 

 

DIRECCIÓN

 

 

 

 

 

 

 

 

 

 

 

 

DIRECCIÓN

 

 

 

 

 

 

 

 

 

DIRECCIÓN

 

 

 

 

 

 

 

 

 

 

 

 

DIRECCIÓN

 

 

 

 

 

 

 

 

 

 

-----------------------------------------------------------

 

 

 

 

 

 

 

 

SECCIÓN PARA EL NOTARIO ----------------------------------------------------------

 

 

 

 

 

 

 

 

 

LA LLENARÁ UN NOTARIO PÚBLICO SOLAMENTE EN AUSENCIA DE TESTIGOS ARRIBA

 

 

 

 

 

Estado de Arizona, condado

 

 

 

 

 

 

 

 

 

Estado de Arizona, condado

 

 

 

 

 

 

Subscrito y jurado o afirmado ante mí

 

 

 

 

 

 

 

Subscrito y jurado o afirmado ante mí

 

 

 

 

 

este

 

día de

 

 

 

,

 

 

 

 

 

 

este

 

día de

 

,

 

 

 

 

NOTARIO PÚBLICO

NOTARIO PÚBLICO

 

SELLO DEL NOTARIO AQUÍ

 

SELLO DEL NOTARIO AQUÍ

Mi comisión termina

Mi comisión termina

Marque esta cajita se llenó el formulario en el hospital.

Fecha de paternidad

 

TODAS LAS COPIAS DE ESTE DOCUMENTO DEBEN TENER FIRMAS ORIGINALES.

Sólo para uso de oficina

ESTE DOCUMENTO DE PATERNIDAD SE FIRMA VOLUNTARIAMENTE, SIN AMENAZA, PERJUICION NI COACCIÓN

CS-127 (11-17) Page 7

AVISO DE LAS OPCIONES, LAS CONSECUENCIAS LEGALES,

LOS DERECHOS Y LAS RESPONSABILIDADES

LEA ESTA INFORMACIÓN DETENIDAMENTE ANTES DE FIRMAR EL FORMULARIO

El propósito de este formulario es reconocer paternidad para un niño nacido a una madre soltera.

Nosotros, la madre biológica y el padre biológico, declaramos que la información provista es cierta y correcta. Reconoce- mos que el padre nombrado es el único padre posible del niño nombrado.

Si la madre del niño estuvo casada en cualquier momento durante los 10 meses inmediatamente anteriores al nacimiento del niño o si el nacimiento del niño ocurrió dentro de 10 meses de haber terminado el matrimonio por causa de muerte, anulación, declaración de invalidez o disolución del matrimonio, o después que el tribunal haya registrado un decreto de separación legal. Según A.R.S. § 25-814, una Renuncia de Affidávit de Paternidad debe acompañar este documento.

Entiendo que si la madre no sabe el paradero del esposo actual/anterior, la madre tendrá que solicitar servicios de IV-D y la División de Servicio de Sustento para Menores intentará localizar al esposo actual/anterior.

Entiendo que al firmar este reconocimiento cedemos nuestro derecho de una audiencia para determinar paternidad ante un tribunal, así como nuestro derecho de pruebas genéticas para determinar la paternidad para este niño.

Entiendo además que quizá tengamos derecho de rescindir o recusar este reconocimiento conforme a A.R.S. § 25-812. Entiendo que el firmar este reconocimiento resultará en la determinación legal de la paternidad.

Entiendo que al determinar la paternidad, ambos padres tienen una obligación legal de mantener a su hijo conforme a A.R.S. § 25-501, así como otras obligaciones impuestas por la ley de Arizona.

Entiendo que esta determinación de paternidad no es una orden de custodia pero sirve como base para determinar asuntos relacionados con la custodia y las visitas, y proporciona a los padres todos los derechos y responsabilidades provistos por la ley de Arizona.

Entiendo que cualquiera de los padres tiene derecho de cancelar el Reconocimiento de Paternidad llenando un Afidávit de Rescisión de Paternidad dentro de 60 días desde la fecha de la última firma preparada ante un testigo/notario público en el Reconocimiento, y enviándolo al Programa de Paternidad en Hospitales conforme a A.R.S. § 25-812. He leído la informa- ción provista y recibido aviso verbal de nuestros derechos y responsabilidades bien por hablar con el personal, o por ver un video sobre la paternidad, o por llamar aI 1-800-485-6908.

Un Reconocimiento de Paternidad voluntario registrado con el Departamento de Seguridad Económica o el Depar- tamento de Servicios de Salud tiene el mismo peso y efecto como un fallo del Tribunal Superior conforme a A.R.S. § 25-812.

Declaro además que esta declaración sea hecha para ser registrada con el Secretario del Tribunal Superior, el Departa- mento de Seguridad Económica o el Departamento de Servicios de Salud conforme a A.R.S. § 25-812, y por este acto con- siento y pido que se enmiende el certificado de nacimiento para reflejar el nombre del padre y el nombre del niño tal como sea pedido en el frente del Reconocimiento de Paternidad. Note por favor: Cualquier pregunta relacionada con cambiar el nombre se deberá dirigir al Departamento de Servicios de Salud, Oficina de Estadísticas Demográficas.

Entiendo que si DES lo estima apropiado, este reconocimiento se podrá utilizar para obtener una orden de paternidad en cualquier condado con jurisdicción en Arizona.

Entiendo que conforme a 42 USC § 652(a) (7) y 666(a) (5) (IV) debo proporcionar mi número de Seguro Social. DES/ DCSS utilizará esta información para establecer paternidad y, si es apropiado, para establecer y hacer cumplir una orden de alimentos para menores.

Juro o afirmo bajo pena de perjurio conforme a A.R.S. § 13-2702 que he examinado esta solicitud y/o los documentos ad- juntos y que según mi mejor saber y entender son ciertos y correctos.

¿QUÉ SIGNIFICA SI YO FIRME ESTE FORMULARIO?

Mediante su firma en este Reconocimiento de Paternidad usted legalmente establece la paternidad de su niño. La pater- nidad significa que usted es el padre legal del niño.

El firmar este formulario es voluntario. Usted no debe firmar este formulario si le han amenazado o coaccionado.

Este Reconocimiento no le otorga automáticamente al padre los derechos de custodia o visitas, pero él puede utilizarlo para pedir esos derechos en el tribunal.

Cualquiera de los padres puede rescindir este formulario dentro de 60 días de la última firma en el formulario firmando un Afidávit de Rescisión de Paternidad (CS-258). Comuníquese con el Programa de Paternidad en Hospitales al 1-800-485- 6908 si desea un Afidávit de Rescisión de Paternidad.

CS-127 (11-17) Page 8

ARIZONA DEPARTMENT OF ECONOMIC SECURITY

(Departamento de Sanidad de Arizona)

Office of Vital Records (Oficina de Registro Civil)

INFORMACIÓN ADICIONAL SOBRE EL PADRE QUE FIGURA EN EL

RECONOCIMIENTO DE PATERNIDAD (para el trámite de partida de nacimiento)

La Oficina de Registro Civil del Departamento de Sanidad de Arizona tiene la obligación de recabar y transmitir la información al Centro Nacional de Estadísticas de Sanidad del Departamento de Sanidad y Servicios Humanitarios (NCHS por sus siglas en inglés). Por favor proporcione los datos que se solicitan a continuación, los que se recaban con fines estadísticos. Gracias de antemano por proporcionar la información.

NOMBRE DEL NIÑO (apellido, nombre, sufijo)

 

 

 

FECHA DE NACIMIENTO

 

NOMBRE DE LA MADRE

NOMBRE DEL PADRE

 

(apellido, nombre, inicial del segundo nombre)

 

 

(apellido, nombre, inicial del segundo nombre)

EDUCACIÓN DEL PADRE (marque una)

¿Cuál es el nivel más alto de educación que usted obtuvo al momento del nacimiento del niño? Marque una de las casillas que mejor des- criba su educación. Si en la actualidad usted está matriculado, marque la casilla que indica el grado anterior o el título más alto obtenido.

8.ᵃᵛᵒ grado o menos

Diploma por dos años de estudios superiores (ej. AA, AS)

9.ᶰᵒ – 12.ᵃᵛᵒ grado, no diploma

Licenciatura (ej. BA, AB, BS )

Graduado de bachillerato o certificado de GED

Maestría (ej. MA, MS MEng, Med, MSW, MBA)

Algunos créditos de educación superior, pero sin título

Doctorado (ej. PhD, EdD) o Profesional (ej. MD, DDS, DVM, LLB, JD)

RAZA DEL PADRE (marque todo lo que corresponda)

Blanco

Negro, afroestadounidense

Amerindio o nativo de Alaska (*vea la lista a continuación) Tribu principal o inscrita:

Tribu adicional: Tribu adicional: Tribu adicional:

Indio asiático

Chino

Filipino

Japonés

Coreano

Otros asiáticos

Especifique:

Especifique:

Hawaiano

Guameño o chamorro

Samoano

Otros isleños de la Polinesia

Especifique:

Especifique:

Otros

Especifique:

Especifique:

Desconocido

Rehúsa

No se puede obtener

*Por favor, seleccione de la siguiente lista la(s) tribu(s) apropiada(s) de Arizona con la(s) que el padre tiene afiliación y escriba el nom- bre de la tribu en el espacio que se da a continuación. Si el padre tiene afiliación a una tribu que no es de Arizona, por favor escriba “otros” en el espacio correspondiente o el nombre de la tribu que no pertenece a Arizona.

Comunidad Indígena Ak Chin

Tribu Navajo

 

 

Camp Verde Yavapai Apache

Pascua Yaqui

 

 

Tribu Cocopah

Comunidad Indígena Prescott Yavapai

 

Tribus Indígenas de Colorado River

Tribu Quechan

 

 

Tribu Fort Mohave

Comunidad Indígena Salt River (Pima)

 

Comunidad Mohave-Apache Ft. McDowell

Tribu San Carlos Apache

 

 

Comunidad Indígena Gila River (Pima)

San Juan Southern Paiute Band

 

Tribu Havasupai

Tribu Tohono O’Odham (Papago)

 

Tribu Hopi

Tonto Apache

 

 

Tribu Hualapai

Tribu White Mountain Apache (Fort Apache)

Kaibab Band de Indígenas Paiute

 

 

 

 

 

 

 

ORIGEN HISPÁNICO DEL PADRE (marque uno)

 

 

No, no soy español, hispánico o latino

dominicano, colombiano)

 

 

Sí, soy mejicano, mejicano americano, chicano

Especifique:

 

 

 

Sí, soy portorriqueño

Especifique:

 

 

 

Sí, soy cubano

 

 

Desconocido

Rehúsa

No se puede obtener

Sí, soy otro español/hispánico/latino (ej. español, salvadoreño,

 

 

 

 

File Properties

Fact Name Description
Purpose The form is designed to acknowledge paternity for a child born out of wedlock.
Applicability Limitation It is not applicable if the child's mother was married at the time of the child's birth or at any point in the ten months preceding the birth, unless it is accompanied by a Waiver of Paternity Affidavit, as per A.R.S. § 25-814.
Completion Requirements Instructions include using black ink, not making corrections on the form, filling in every blank or box, and requiring a separate Acknowledgment for multiple births. The form must be signed in the presence of a Witness or Notary Public, with appropriate and valid identification shown by each parent.
Signing Provisions If both parents cannot sign at the same time, separate Acknowledgments are needed with identical child information, to be submitted together.
Legal Impact and Benefits Signing the form voluntarily establishes paternity, which entails the child's right to know and have a relationship with both parents, to financial support from both parents, to learn medical histories of both parents, and to easier inheritance and benefits from Veterans Affairs or the Social Security Administration.

Instructions on Writing Arizona Paternity

Filling out the Arizona Acknowledgment of Paternity form is a critical step towards legally establishing the paternity of a child born out of wedlock. This process lays the foundation for securing the child's right to know and receive support from both parents. It is important that both parents understand the implications, benefits, and responsibilities attached to this document. Every detail provided should be accurate and filled out with diligence to ensure the smooth processing of paternity acknowledgment.

  1. Read through the entire "Acknowledgment of Paternity" (CS-127) form, including the Notice of Alternatives, Legal Consequences, and the Rights and Responsibilities sections.
  2. Use black ink only to complete the form. Colored ink is not accepted.
  3. Type or neatly print all required information, except where signatures are required. Ensure no corrections, crossouts, erasures, or alterations are made on the form. If an error occurs, start over with a new form.
  4. Fill in every blank or box provided on the form. Incomplete or incorrect information can delay the acknowledgment process.
  5. If the acknowledgment involves multiple births (twins, triplets, etc.), a separate form must be filled out for each child.
  6. Both parents must sign the form in the presence of a Witness or Notary Public. Each parent's legal name (as it appears on official documents like a birth certificate) must be used. Nicknames or shortened names are not acceptable.
  7. In situations where both parents are not able to sign the acknowledgment simultaneously, separate forms must be used for each parent. Ensure the child's information is identical on both forms and submit them together.
  8. For children older than 3 months, only the last name can be changed using this form. Any other changes must be processed through the Office of Vital TTY/TDD Services at 7-1-1.
  9. The completed acknowledgment must be signed in the presence of a qualified Witness or Notary Public, who is at least 18 years old and not related to either parent by blood or marriage.
  10. Return all completed pages (except the instruction sheet) to: DCSS Hospital Paternity Program – HPP, PO BOX 64533, Phoenix, AZ 85082.
  11. If requesting a copy of the birth certificate, send the application fee along with the birth certificate application to the address listed on the certificate application form. Do not send money to the Hospital Paternity Program.

Once the form is completed and submitted, it plays a crucial role in establishing legal paternity. It provides the child with the right to know both parents, ensures access to financial support, and secures other benefits like health care coverage and inheritance rights. It's a declaration of both responsibility and privilege, shaping the child's future in profound ways.

Listed Questions and Answers

What is the purpose of the Arizona Acknowledgment of Paternity form?

The purpose of this form is to legally acknowledge paternity for a child born out of wedlock, ensuring the child has two legal parents, and facilitating rights such as financial support from both parents, access to medical histories, and eligibility for benefits like health care coverage and inheritance.

Can the Acknowledgment of Paternity form be completed if the mother was married at the time of the child’s birth?

No, if the mother was married during the child's birth or within the ten months immediately preceding the birth, this form is not applicable unless accompanied by a Waiver of Paternity Affidavit.

What if corrections are needed on the form?

Corrections, crossouts, erasures, or alterations invalidate the form. If a mistake is made, you should request a new form and start the completion process again.

Is it necessary for both parents to sign the form at the same time?

No, it's not necessary for both parents to sign at the same time. Separate acknowledgments can be used but must contain identical information about the child and be submitted together.

What identification is required when signing?

Both parents must show appropriate and valid identification to the witness or notary public. They should use their legal names as they appear on official documents like birth certificates.

How can changes be made to the child's name using this form?

After the child is three months old, only the last name can be changed using this form. Any other changes need to be requested through the Office of Vital Records.

What are the advantages of signing the Acknowledgment of Paternity form?

Signing this form benefits the child by legally establishing two parents, which supports rights to financial support, access to health coverage, and the ability to inherit. It also makes it easier to learn about the medical histories of both parents.

How is the form submitted?

The completed form, excluding the instruction page, must be mailed to the DCSS Hospital Paternity Program. If a copy of the birth certificate is required, application money should be sent with the birth certificate application to the specified address, not the Hospital Paternity Program.

What actions can be taken if either parent changes their mind after signing the form?

Either parent has the right to cancel (rescind) the Acknowledgment of Paternity by completing an Affidavit of Paternity Rescission and sending it to the Hospital Paternity Program within 60 days from the date of the last witnessed/notarized signature on the form.

Common mistakes

  1. Not using black ink to fill out the form. Colored inks are not accepted, and using them can invalidate the acknowledgment.

  2. Making corrections on the form such as crossouts, erasures, or alterations. Instead, if a mistake is made, one should obtain a new form and start over.

  3. Leaving blanks or boxes unfilled. Incomplete information can cause delays in the acknowledgment process.

  4. Failing to complete a separate acknowledgment for each child in cases of multiple births, which is required for the process.

  5. Not signing the acknowledgment in the presence of a Witness or Notary Public. Each parent's signature must be witnessed or notarized to be valid.

  6. Using nicknames or shortened names instead of the legal name. The name should match what appears on official documents, such as a birth certificate.

  7. Not submitting both acknowledgments together when parents sign separate acknowledgments. The child’s information should be identical on each form.

It is important to follow these guidelines carefully to avoid delays or issues in the acknowledgment of paternity.

Documents used along the form

When completing and submitting the Arizona Acknowledgment of Paternity form, several other documents often accompany it to ensure the process goes smoothly, and all legal bases are covered. Each of these documents plays a unique role in establishing paternity and asserting the rights and responsibilities of the parents.

  • Birth Certificate Application: This form is necessary to register the birth of the child officially with the state's office of vital records. It records the child's name, birthplace, and the parents' names, making it a crucial piece of identifying documentation for the child.
  • Waiver of Paternity Affidavit: If the mother was married at any time during the pregnancy or in the ten months before the child's birth, this form is required. It is signed by the husband or former husband to waive any presumed paternity, allowing the biological father to be listed on the birth certificate.
  • Voluntary Acknowledgment of Paternity Information Brochure: This document provides comprehensive information on the implications of signing a Voluntary Acknowledgment of Paternity form. It outlines the legal consequences, rights, and responsibilities that come with acknowledging paternity.
  • Affidavit of Paternity Rescission: This form is used if either parent decides to rescind (cancel) the acknowledgment of paternity. It must be submitted within 60 days of signing the original acknowledgment form. This document allows the parents to revoke the acknowledgment in case of any doubts or disputes regarding paternity.

Using these forms together with the Acknowledgment of Paternity helps ensure that all aspects of the child’s paternity are accurately recorded and all legal requirements are met. These forms collectively aid in establishing the child's legal father, which can have significant implications for the child's future, including custodial rights, inheritance, and access to medical history.

Similar forms

The Arizona Acknowledgment of Paternity form shares similarities with a Birth Certificate Application in numerous ways. Both are pivotal documents that facilitate the official recording of vital information with state agencies, ensuring that a child's lineage and identity are formally recognized and recorded. While the Acknowledgment of Paternity specifically establishes the legal father of a child born out of wedlock, a birth certificate application ensures that a child’s birth is officially recorded, capturing details such as the child's name, place, and date of birth, along with parental information. Importantly, both documents contribute to defining a child's legal identity and familial relationships, and they often require detailed, accurate information and signatures from the parents, underlining their significance in affirming familial bonds and responsibilities.

Another document that closely is similar to the Arizona Paternity form is the Affidavit of Parental Consent for a Child's Passport. This document, like the Acknowledgment of Paternity, often involves the declaration of parental relationships and responsibilities. Specifically, the affidavit of parental consent assures that both parents agree to the issuance of a passport for their child, reflecting a mutual acknowledgment of the child's right to international travel. This parallels how the Acknowledgment of Paternity recognizes both parents' agreement to establish legal fatherhood, thereby acknowledging the father's rights and responsibilities towards the child. Both documents serve as legal acknowledgments that have significant implications for the child's rights and benefits, such as nationality, inheritance, and eligibility for government services.

The Child Support Services Application is another document that shares certain similarities with the Acknowledgment of Paternity. Both are integral to ensuring that a child receives support from both parents, albeit in different manners. The acknowledgment formally establishes paternity and, by extension, the father's obligation to support the child financially. On the other hand, the Child Support Services Application is a practical step towards obtaining such support, often necessitating established paternity as a prerequisite. Both documents intertwine legally and administratively, facilitating the child's entitlement to financial support from the non-custodial parent and, oftentimes, other benefits such as health insurance and inheritance rights.

Lastly, the Application for Amending a Birth Certificate reflects a process closely related to the implications of signing an Acknowledgment of Paternity. When paternity is acknowledged after a birth certificate has been issued without the father's name, an amendment application becomes necessary to add the father's details to the child's birth certificate. This process underscores the legal acknowledgment of the father’s role and solidifies his relationship with the child in official records. Both documents underscore the fluidity and complexity of familial relationships and the legal system’s adaptability in recognizing and formalizing these ties.

Dos and Don'ts

  • Do ensure that you read the "Acknowledgment of Paternity" form and the accompanying instructions carefully before you start filling it out.

  • Don't use any ink other than black to fill out the form as colored inks are not accepted.

  • Do type or print all required information clearly, except where signatures are required, to ensure that all the information provided is legible.

  • Don't make any corrections, such as crossouts, erasures, or alterations, on the form as it will invalidate the Acknowledgment.

  • Do ensure that every blank or box on the form is filled in. Leaving incomplete or incorrect information can delay the process.

  • Don't forget that if you need to change the child’s name after 3 months of age, only the last name can be changed using this form. For any other changes, you must contact the Office of Vital Records.

  • Do remember to sign the Acknowledgment in the presence of a Witness or Notary Public, who must then also sign the form, indicating that they have verified your identity and witnessed your signature.

Misconceptions

There are several misconceptions about the Arizona Paternity form that individuals often encounter. Understanding these misconceptions is crucial for parents wishing to acknowledge paternity accurately and effectively. Here are eight common misconceptions explained:

  • Misconception 1: It's often thought that completing the Acknowledgment of Paternity form immediately grants the father custody rights. However, while this form legally establishes paternity and can be a step towards seeking custody or visitation rights, it does not automatically grant these rights.
  • Misconception 2: Many believe that any mistakes on the Acknowledgment of Paternity form can be easily corrected. Unfortunately, forms with cross-outs, erasures, or alterations are considered invalid. If a mistake is made, one must obtain a new form and start the process over.
  • Misconception 3: There is a common belief that the paternity form can be completed using any ink color. For the document to be valid, all information must be filled out using black ink only.
  • Misconception 4: Some parents assume that the form can acknowledge paternity for multiple children born at the same time, such as twins or triplets. In reality, a separate Acknowledgment for each child must be completed.
  • Misconception 5: There's a perception that nicknames or shortened names are permissible for the parents' names on the form. However, only the legal names of the parents, as they appear on official documents such as birth certificates, should be used.
  • Misconception 6: Parents sometimes think they can submit the acknowledgment form directly to the Hospital Paternity Program with birth certificate application fees. In fact, application monies for a copy of the birth certificate should be mailed to the address listed on the birth certificate application, not to the Hospital Paternity Program.
  • Misconception 7: It's mistakenly believed that if the mother was married at any point during the pregnancy or the ten months preceding the birth, the Acknowledgment of Paternity cannot be used. While it's true that the form is not applicable if the mother was married during these times, it can still be used if accompanied by a Waiver of Paternity Affidavit or if a court order is attached that rebuts the husband's paternity.
  • Misconception 8: Lastly, many assume that this form alone is sufficient for changing the child's name on the birth certificate. While this can be used for last name changes in some circumstances after the child is three months old, any other name changes must be requested through the Office of Vital Records.

Understanding these misconceptions can help ensure that the process of acknowledging paternity is completed accurately and according to the legal requirements of the Arizona Department of Economic Security, Division of Child Support Services.

Key takeaways

  • Filling out the Arizona Acknowledgment of Paternity form is essential for acknowledging paternity for children born out of wedlock. It's vital to carefully read and understand the section detailing instructions, alternatives, legal consequences, rights, and responsibilities associated with this acknowledgment.
  • The form must be completed using black ink only, and all information should be typed or printed clearly except for the signatures. This requirement ensures the document’s legibility and integrity, which is crucial for its validity as a legal document.
  • No corrections are allowed once the form has been filled out. If an error is made, the form must be discarded, and a new one must be completed. This rule helps prevent any ambiguity or disputes about the information provided on the form.
  • For the acknowledgment to be legally binding, it must be signed in the presence of a Witness or Notary Public. Both parents are required to use their legal names and provide appropriate, valid identification at the time of signing. This step ensures that both parties are accurately identified and legally bound by the acknowledgment.
  • If parents choose to change the child’s name after three months of age, it’s important to note that only the last name can be changed using this form. Any other changes to the child's name must go through the Office of Vital Records. Furthermore, in scenarios where parents are not signing together, each parent must complete separate acknowledgments, ensuring the child's information matches on both documents.
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