Birth parents information

Mother Married at Child's Birth

Select Yes or No to indicate whether the child's mother was married at the time of the child's birth.

Putative Father Registry Search Requested

Select this check box if a request was submitted to search for the father in the Putative Father Registry.

Date Submitted

If you selected the check box in the previous field, enter the date the request was made. Use the format MM/DD/YYYY.

Results

Describe the results of the Putative Father Registry search. You can enter up to 300 characters.

Additional Comments

Enter any additional information about the child's parents. You can enter up to 3000 characters.