Form 144 Rev 1/17 The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR PATERNITY ADJUDICATION Petitioner Name Street Address P.O. Box Number City/State/Zip Code D.O.B. Attorney Name v. Respondent Name Street Address Petition Number P.O. Box Number City/State/Zip Code D.O.B. Attorney Name DCSS # (If applicable) File Number Interpreter needed? Language In the interest of (Child): Yes No Interpreter needed? Language Date of Birth Yes No Place of birth Petitioner wants the Court to determine whether the father of 1. Petitioner(s) is(are) the: Mother of the Child. Alleged Father. Child whose paternity is at issue. 2. The Child resides with New Castle County, DE ("the Alleged Father") is ("The Child") and hereby alleges that: Division of Child Support Services. Adoption or placement agency. Representative of minor, incapacitated or deceased individual in: Sussex County, DE Other: , in the County of Kent County, DE 3. The Alleged Father was born on in the State of 4. The Alleged Father (check all of the following that are true): a. b. c. d. e. f. Engaged in sexual intercourse with Mother at or about the probable time of conception. Was married to Mother at (or was divorced from her within 300 days prior to) the time of the Child's birth. Married Mother after Child's birth (and is on the birth certificate or has agreed in writing to provide support). Resided with the Child for the 1st 2 years of the Child's life and has held the Child out as his own. And Mother signed and filed a Voluntary Acknowledgment of Paternity. Participated in medically assisted reproduction with Mother intending to become the Father of this Child. is needed (or) is not needed to assist in the adjudication of paternity. Remain the same Be changed to Be changed to Yes No Dependency/Neglect TPR/adoption 5. Genetic testing 6. Upon adjudication of paternity, the Child's name should: 7. Upon a finding of non-paternity, the Child's name should: Remain the same 8. Other 9. Is any other petition regarding this child pending before the Family Court at this time? Child Support Custody/Visitation If yes, what type of petition is it? Paternity Guardianship THEREFORE, Petitioner seeks an Adjudication of Paternity and the amendment of any inconsistent birth records. Date Petitioner/Attorney Attachments: Affidavit of Parentage (required) Voluntary Acknowledgement of Paternity (if applicable) Birth Certificate (if available) Other: American LegalNet, Inc. www.FormsWorkFlow.com