NHJB-3031-DF (01/01/2018) Page 1 of 3 THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Number: IN THE MATTER OF: DOB: IN THE MATTER OF: DOB: IN THE MATTER OF: DOB: IN THE MATTER OF: DOB: DCYF222S AFFIDAVIT TO IDENTIFY AND / OR LOCATE A PARENT, LEGAL GUARDIAN OR PUTATIVE FATHER FOR USE WHEN: In an RSA 169-C case, when there is a parent, legal guardian or putative father who is not identified and/or located. A separate form is needed for each parent, legal guardian and/or putative father(s). This Affidavit must be completed for every such person in this case until the person is identified and located. A. INTRODUCTION 1. The name and birth date of the person who is the subject of this affidavit is as follows: Name DOB 2. The last known address for this person is: 3. This person is is not identified and is is not located. 4. This person is (check all that apply): accused parent non-accused, non-household parent non-accused, household parent legal guardian putative father B. DCYF EFFORTS TO IDENTIFY AND/OR LOCATE Since the last RSA 169-C court hearing, the following efforts have been made by DCYF to identify and/or locate this person as follows: Resource Date(s) Checked Since Last RSA 169-C Hearing Name of Person Spoken to, if Applicable Explanation of Efforts and Outcome, including Pending Requests Checked N.H. Bridges and New Heights Submitted a Request to the Bureau of Child Support Services (BCSS) Conducted Criminal Records Check Contacted (telephone and/or in writing) known relatives and friends about this person222s identity and/or location Spoke with the other parent about this person222s identity and/or location (including contact through social media) American LegalNet, Inc. www.FormsWorkFlow.com Case Number: AFFIDAVIT OF EFFORTS TO IDENTIFY AND/OR LOCATE PARENT, LEGAL GUARDIAN OR PUTATIVE FATHER NHJB-3031-DF (01/01/2018) Page 2 of 3 Resource Date(s) Checked Since Last RSA 169-C Hearing Name of Person Spoken to, if Applicable Explanation of Efforts and Outcome, including Pending Requests Contacted (telephone and/or in writing) current and prior employers about this person222s location Checked telephone book/directory assistance (Please include city(ies) and area code(s)) Conducted internet searches (including social media) Contacted (telephone and/or in writing) police departments (local & state 226 please specify/identify) about this person222s location Contacted (telephone and/or in writing) school attended by the child(ren) in the family about this person222s identity and/or location Contacted Social Security Administration Inmate Locator Checked the federal and state system to determine whether the person is incarcerated Contacted County House of Corrections Checked the federal Parent Locator Search Checked N.H. Putative Father Registry Personal visit / sent mail to last known address Searched Service members Civil Relief Act (SCRA) database to certify military status Other Attempts (Please specify) C. OUTCOME OF EFFORTS TO IDENTIFY AND/OR LOCATE The outcome of DCYF222s efforts to identify and/or locate are as follows: 1. IDENTIFICATION OF THIS PERSON The name of this person was known and is set forth above. After efforts described above, the name of this person is After efforts described above, the name of this person has not yet been determined. 2. LOCATION OF THIS PERSON The current address of this person is the same as the last known address and is set forth above. American LegalNet, Inc. www.FormsWorkFlow.com Case Number: AFFIDAVIT OF EFFORTS TO IDENTIFY AND/OR LOCATE PARENT, LEGAL GUARDIAN OR PUTATIVE FATHER NHJB-3031-DF (01/01/2018) Page 3 of 3 After efforts described above, the current address of this person is After efforts described above, the current address of this person has not yet been determined. 3. SERVICE OF THIS PERSON DCYF requests the court to serve the person, consistent with RSA 169-C:8. I swear or affirm that the foregoing information is true and correct to the best of my knowledge. Date Signature of Affiant Printed Name of Affiant State of , County of This instrument was acknowledged before me on by My Commission Expires Affix Seal, if any Signature of Notarial Officer / Title C: Mother Guardian ad Litem Father Receiving School District Petitioner Sending School District Attorney(s) of Record Other: American LegalNet, Inc. www.FormsWorkFlow.com