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Centralized Paternity Registry 62 - Oklahoma
| Centralized Paternity Registry Form. This is a Oklahoma form and can be used in General District Court Statewide . |
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OKLAHOMA DEPARTMENT OF HUMAN SERVICES *04AN016E-001* Centralized Paternity Registry The word father used on this form refers to the father or putative father of a child born out-of-wedlock. [10 O.S. 7506-1.1] Section A. Identifying information for father, mother, and child: Father's full name Social Security number Child's full name Race Sex Date of birth Address Child's Social Security number Child's birth date or anticipated birth date Place of birth Other names, if any Address Date of birth Race Race Tribal affiliation Mother's full name Social Security number Section B. Check the appropriate action: x x x x x Notice of desire to receive notification of an adoption proceeding Notice of intent to claim paternity Acknowledgment of paternity Revocation of notice of intent to claim paternity Adjudication of paternity County Date Father's attorney Court number Attorney's address Section C. Change of father's address: Old address New address Signature: Father or Court clerk Mail to: Children and Family Services Division Adoption Assistance Section P.O. Box 25352 Oklahoma City, OK 73125-0352 OKDHS revised 6-1-2007 04AN016E (DCFS-40) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com Date
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