4a-332 - Final Decree Of Parentage Page 3

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5.
The court will have continuing jurisdiction over issues relating to the [child] [children] while
the [child is a minor] [children are minors].
6.
(Check and complete if applicable)
[ ]
The Department of Health, Health Services Division, Vital Statistics Bureau is
ordered to change the birth record of ___________________________ (name of each child)
to reflect ____________________ (name of father) is the [child's] [children's] father.
7.
This case is now closed. However, the court will have continuing jurisdiction over issues
relating to the [child] [children] while they are minors and as provided by law.
IT IS SO ORDERED.
_______________________
________________________________________
Date
District court judge
When I sign here, I am telling the judge that I have read this document and agree with
everything in it. I state upon my oath or affirmation that this document and the statements in it are
true and correct to the best of my information and belief.
____________________________
_________________________________________
Petitioner's signature
Respondent's signature
Address:
Address:
____________________________
_________________________________________
Telephone:
Telephone:
____________________________
________________________________________
3

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