Form Vs-8 - Declaration Of Paternity - Kentucky State Registrar Of Vital Statistics Page 2
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2RIGHTS AND RESPONSIBILITIES OF THE PARENTS
I UNDERSTAND
…if I have questions regarding the legal effect of signing this form, I should seek legal advice.
…that I have the right to request genetic testing prior to signing this form if I have any doubts concerning the paternity of
the child whose name appears on this affidavit.
…I have read the paternity acknowledgment information. I have also been given an oral explanation of the voluntary
acknowledgment process, and alternatives available to me or I have heard an audio tape, or seen a video providing this
information.
…I have the right and have been given the opportunity to ask questions before signing this form. “Opportunity to ask
questions” includes contacting the child support agency at the toll free number given below, even if this means delaying
my signing this form.
…the information that I have given on this form is true.
…I may be responsible to provide child support and medical insurance for this child at least until said child reaches the age
of emancipation, or is otherwise legally emancipated.
…that if this child receives public assistance, I may be required to make child support payments to the State.
…that I may be responsible for hospital and doctor’s fees for the birth of this child.
…that this signed acknowledgment may be rescinded (taken back) by either parent signing the form the earlier of
1) 60 days, or
2) administrative or judicial proceedings relating to the child including setting support.
Afterwards the acknowledgment may be contested in court only on the grounds of duress, fraud, or material mistake of fact.
…that I do not automatically have custody or visitation rights by signing this form. I must go to court for those issues to
be decided.
…this form will be sent to the Office of Vital Statistics. If all items are correctly completed and the affidavit is notarized,
my name will be placed on the child’s birth certificate as the father.
…if this form is not SIGNED IN FRONT OF A NOTARY my name cannot be placed on the birth certificate as the father.
I UNDERSTAND THIS IS A LEGALLY BINDING DOCUMENT. IT HAS THE SAME WEIGHT AND AUTHORITY
AS A COURT ORDERED PATERNITY.
I UNDERSTAND THAT ANY CHANGES TO THE BIRTH CERTIFICATE AFTER THIS FORM HAS BEEN FILED
WITH THE OFFICE OF VITAL STATISTICS SHALL REQUIRE A COURT ORDER.
FOR INFORMATION regarding rights and responsibilities, written materials and information concerning genetic testing call:
Division of Child Support Enforcement
TOLL FREE NUMBER: 1-888-675-7425
Monday thru Friday (8:00 AM to 4:30 PM, EST)
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