Appendix 8.D – CSP Affidavit Acknowledging Paternity Form
Purpose:Form used to track number of affidavits completed in District CSP Offices.
Mother's Name | Alleged Father's Name | Presumed Father's Name | Date(s) Signed | Date Sent to Vital Records | # of Children w/Paternity Established |
Minnie Mouse | Mickey Mouse | 12/26/2003 | 12/26/2003 | 4 | |
Daisy Duck | Road Runner | Donald Duck | 12/26/2003 | 12/26/2003 | 1 |
Sponge Bob | Dora the Explorer | 12/26/2003 | 12/26/2003 | 18 | |
TOTAL PATERNITIES ESTABLISHED | 23 |