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Petition To Establish Paternity And-Or Support Form. This is a New Hampshire form and can be use in Superior Court Statewide.
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Tags: Petition To Establish Paternity And-Or Support, New Hampshire Statewide, Superior Court
CASE NUMBER
_____________________________
To be assigned by Court
JUDICIAL BRANCH - SUPERIOR COURT
In the matter of
PETITION TO ESTABLISH PATERNITY AND/OR SUPPORT
1.
Your Name
2.
Child(ren)'s Father's Name
Date of Birth
Residence Address
Town/City
3.
County
Child(ren)'s Mother's Name
State
Date of Birth
Residence Address
Town/City
County
4.
You have been a resident of New Hampshire since
5.
State
Child(ren) whose paternity is to be established:
NAME
DATE OF BIRTH
ADDRESS
6.
The children have resided in New Hampshire since
7.
State the name of the father, if any, listed on each child's birth certificate
8.
Was the mother married at the time of, or within 10 months before the birth of any child listed in
Paragraph 5?
Yes
No
9.
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.
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:
B.
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;
C.
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
SC-PEPS-WEB03
Notary Public / Justice of the Peace
American LegalNet, Inc.
www.USCourtForms.com
