Acknowledgment Of Paternity Page 3

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AOP Page 3 of 4
Birth Registration Case Id:
ACKNOWLEDGMENT OF PATERNITY (AOP)
In the matter of the voluntary acknowledgment of paternity (AOP) of a child born in the State of New Mexico; the
mother of this child and the man claiming to be the genetic father of this child may sign this voluntary AOP with
intent to establish the man’s paternity. This AOP shall be signed under penalty of perjury by the mother and by the
man seeking to establish his paternity of the child.
The Child Information and Mother Information is required to locate and reference child’s birth certificate:
CHILD’S INFORMATION
CHILD’S NAME AT BIRTH (First, Middle, Last Name(s), Suffix )
DATE OF BIRTH
GENDER
(MM/DD/YYYY)
CHILD’S PLACE OF BIRTH (City, County)
HOSPITAL NAME/OTHER LOCATION
, New Mexico
MOTHER’S INFORMATION (Maiden Name-Name prior to first marriage)
First Name
Middle Name
Maiden Last Name
DATE OF BIRTH (MM/DD/YYYY)
SOCIAL SECURITY NUMBER
BIRTHPLACE STATE
BIRTHPLACE COUNTRY
Parents must check correct answer in items 1 through 5 in order for the AOP to be valid.
Item 1 :
We understand that this acknowledgment is the equivalent of a judicial adjudication of paternity of this child and
that we may rescind this acknowledgement by means of a judicial proceeding within a 60 day time limit as
explained in [40-11A-30]; and that a challenge to the acknowledgement is permitted only under limited
circumstances and is barred after two years.
Item 2
We have read and understand the instructions provided. We understand our rights, responsibilities,
:
consequences and alternatives.
Item 3 :
Check one:
3a
We acknowledge that the child subject to this AOP does not already have a presumed, acknowledged, or
adjudicated father.
If item 3a is checked, the mother and genetic father may proceed with completing this AOP. This AOP
OR
will be invalid if another man is an acknowledged or adjudicated father of this child.
3b
We acknowledge that the child subject to this AOP already has a presumed father and does not have another
acknowledged or adjudicated father.
I understand that if item 3b is checked, a denial of paternity (DOP) from the presumed father is
required in order for this AOP to be valid.
The Full Name of presumed father is:
Item 4 :
Check one:
We acknowledge that there has not been genetic testing regarding this child’s paternity.
Item 4a
OR
Item 4b
We acknowledge that there has been genetic testing in compliance with NMSA 1978, Section 40-11A-503, and
that the acknowledging man’s claim of paternity is consistent with the results of the testing.
Item 5 :
Check one:
Item 5a
Single Mother
OR
Item 5b
Married or Formerly Married Mother:
If mother was married and the child was born within 300 days of the termination of the marriage, the
name of the husband shall be entered on the child’s birth certificate unless paternity has been
established pursuant to the Vital Statistics Act and the Uniform Parentage Act [40-11A-30].
If a DOP is not signed by the presumed father, do not proceed. The AOP and DOP may be filed
separately or simultaneously, but neither is valid until both are filed.
Rev 02/2012

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