New Hampshire > Statewide > Superior Court > Domestic
Petition To Establish Paternity And-Or Support - New Hampshire
| Petition To Establish Paternity And-Or Support Form. This is a New Hampshire form and can be used in Domestic Superior Court Statewide . |
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CASE NUMBER _____________________________ To be assigned by Court JUDICIAL BRANCH - SUPERIOR COURT In the matter of PETITION TO ESTABLISH PATERNITY AND/OR SUPPORT 1. 2. Your Name Child(ren)'s Father's Name Residence Address Town/City County State Date of Birth 3. Child(ren)'s Mother's Name Residence Address Town/City County Date of Birth State 4. 5. You have been a resident of New Hampshire since Child(ren) whose paternity is to be established: NAME DATE OF BIRTH ADDRESS 6. 7. 8. 9. The children have resided in New Hampshire since State the name of the father, if any, listed on each child's birth certificate Was the mother married at the time of, or within 10 months before the birth of any child listed in Paragraph 5? Yes No If your answer to Paragraph 8 was Yes, fill in name and address of her spouse or former spouse: 10. Please check one of the following regarding public assistance: No public assistance (AFDC/TANF) is now being or has within the last 6 months been provided, nor is medical assistance (Medicaid) presently being provided, for any minor child listed in Paragraph 5. The N.H. Department of Health and Human Services is providing or has provided within the last 6 months public assistance (AFDC/TANF) and/or medical assistance (Medicaid) for any minor child. If this is checked, you must mail copies of this petition and the confidential data sheet to the Department at: OCS Legal Office 6 Hazen Drive Concord, NH 03301 SC-PEPS-WEB03 American LegalNet, Inc. www.USCourtForms.com Petition to Establish Paternity and/or Support Page 2 of 2 11. By filing this petition, you are asking that the Court: A. B. C. Find that the man listed above is the father of the children listed in Paragraph 5, and enter his name on each child's birth certificate: Check here if you wish the Court to issue orders concerning the custody, visitation, support, health insurance, and other matters relating to the minor children; Grant any other orders which may be appropriate. 12. Temporary Orders, if issued, are in effect until the final orders are granted. Check here if you wish the Court to issue temporary orders concerning the custody, visitation, support, health insurance, and other matters relating to the children listed in Paragraph 5. Date Signature (Sign in front of Notary Public or Justice of the Peace) Attorney (if any) Attorney's address State of New Hampshire County The person signing this petition appeared and signed before me and took oath that the facts stated in this petition are true, to the best of his or her knowledge and belief, and that he/she has mailed the copies of this petition and the confidential data sheet to OCS (if required under paragraph 10). Date Notary Public / Justice of the Peace SC-PEPS-WEB03 American LegalNet, Inc. www.USCourtForms.com
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