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Paternity Information Form

Welcome to our Paternity on-line form page. Please understand that the information you provide is completely confidential and will never be used outside our services.


  •  Please fill out the following contact information:

    Your Name:

    Are you the Mother/Father?:
    Your Address:
    We should Contact you by: ?
    Phone:
    E-mail:
    Date of Birth: -mmddyy
Other Party's Name:

Are you the Mother/Father?:
Other Party's Address:
We should Contact you by: ?
Other Party's Phone:
Other Party's E-mail:
Other Party's Date of Birth: -mmddyy
    
  • Do you both agree on the issues?

    Yes No

  • Minor Children Names         Date of birth              Place of birth                      Age

        -mmddyy       

        -mmddyy       

        -mmddyy       

        -mmddyy       

 

  • Who will have legal custody? 

            

  • Who will have physical custody?

            

  • Does either party receive welfare?

        Yes No    If so, what case number?

  • How long have you lived in California? --years

  • Do you live in the Los Angeles County?

    Yes No