Eturn address and telephone number of applicant. 5. A check or money order payable to the Indiana State Department of Health for the correct fee (s). For additional questions or concerns, please contact the Indiana State Department of Health Division Vital Records at 317.233.2700. FOR OFFICE USE ONLY Receipt Number Initials of Verifier.
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How to fill out the In Form 54763 online
In Form 54763 is the application for a search of paternity affidavit provided by the Indiana State Department of Health. This guide offers step-by-step instructions to assist users in completing the form accurately and efficiently online.
Follow the steps to successfully complete the In Form 54763 online.
- Press the ‘Get Form’ button to access the form and load it in your online editor.
- Begin by providing the full name at birth of the individual named on the paternity affidavit.
- Indicate if the birth could be recorded under any other name by answering yes or no and supplying the alternate name if applicable.
- Enter the city and county of birth, as well as the name of the hospital if known.
- Fill in the date of birth using the format month, day, year.
- Provide the age of the individual on their last birthday.
- List the full name of the father and the full name of the mother, including the maiden name of the mother.
- Specify the purpose for which the record will be used.
- Indicate your relationship to the child named on the affidavit.
- Sign the application and provide your mailing address, ensuring it matches the identification you will submit.
- Enter your daytime telephone number, including area code.
- Date your application by entering today’s date in the format month, day, year.
- Prepare your application by including a photocopy of valid identification, a check or money order made payable to the Indiana State Department of Health, and send everything to the provided address.
Complete your documents online to ensure a smooth submission process.
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Get answers to your most pressing questions about US Legal Forms API.
What are the paternity laws in the state of Indiana?
Indiana allows a man to execute a Voluntary Declaration of Paternity within the first 72 hours after a child's birth. If both parents sign the paternity affidavit (a form provided by the hospital from the state health department), the father's name will be put on the birth certificate and he will be the legal father.
Where can I get a copy of paternity affidavit Indiana?
A paternity affidavit may be completed at the hospital within 72 hours of the child's birth or at your local health department any time before the child is emancipated. If paternity is established by paternity affidavit, the Department of Health will add the father's name to the child's birth certificate.
Does signing a birth certificate establish paternity in Indiana?
Signing the father's name on a birth certificate is not enough to legally determine paternity. (However, if the mother is married when the child is born, the husband is considered the father of the child and paternity does not need to be legally determined). 2. A paternity case can be filed in court.
How do I get a copy of my paternity affidavit in Indiana?
Where can I get a paternity affidavit? The hospital will be able to provide you with a paternity affidavit. An affidavit signed at the hospital must be signed within 72 hours of the child's birth. After that time, you can get a paternity affidavit at your local health department.
How to take non biological father off birth certificate in Indiana?
Affidavit and Disestablishing Paternity Under Indiana law, a man has the right to rescind (cancel) a Paternity Affidavit only within sixty (60) days of the date the Paternity Affidavit was signed. To do so, he must file an action in a court with jurisdiction over paternity.
What is a paternity affidavit for Indiana?
So an Indiana Paternity Affidavit is a document where both a person claiming to be the father and mother are swearing that the person claiming to be Father is indeed the child's biological father. (2) Executed through a local health department before the child reaches the age of emancipation.
Whose last name does the baby get if not married in Indiana?
The child may have either the father's or mother's last name. If the parents are not married when the child is born and paternity is not established: The father will not be listed on the birth certificate; and, The child will have the mother's last name.
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