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Get Page 1 Of 2 ACKNOWLEDGMENT OF PATERNITY AFFIDAVIT (FOR ... - New Dhh Louisiana

RNITY AFFIDAVIT (FOR USE IN HOSPITAL) CHILD BORN OF MARRIAGE NOTICE: You must read and initial the NOTICE OF ALTERNATIVES, RIGHTS AND RESPONSIBILITIES before you sign the affidavit. SECTION I. CHILD'S INFORMATION This is a legal document. Complete in ink and do not alter. Date of Birth - (Month, Day, Year) Name of Child - First, Middle, Last (As it appears on birth certificate) Place of Birth - City, State Name of Hospital SECTION II. MOTHER'S INFORMATION DISTRIBUTION OF COPIES: Original t.

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