Paternity Test Order Form

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NO. _________________________
IN THE DISTRICT COURT
PETITIONER
JUDICIAL DISTRICT
RESPONDENT
{COUNTY, STATE}
DNA PATERNITY TEST ORDER
Child Name:
Birth No.
Birth Place:
DOB:
Address:
City:
State:
Zip:
Mother Name:
SSN:
Marital Status:
DOB:
Address:
City:
State:
Zip:
Putative Father Name:
SSN:
Marital Status:
DOB:
Address:
City:
State:
Zip:
In light of the approaching paternity case, the Court hereby orders all parties named above to undergo a
DNA test. The parties are ordered to cooperate fully with each other in procuring DNA results from
. The paternity tests will be paid for in entirety by
Mother Signature
Date
Putative Father Signature
Date

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