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Nevada Declaration of Paternity Form

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State of Nevada Declaration of Paternity

THIS IS A LEGAL DOCUMENT. TYPE OR PRINT IN BLACK INK.

Parents are to be given a copy of this completed document prior to sending to the Office of Vital Records (see bottom of page).

PLEASE READ PAGE 2 BEFORE COMPLETING.

SECTION A - ALL PARTS OF SECTIONS A & B MUST BE COMPLETED AND SECTION D WITNESSED

Child

NAME OF CHILD – FIRST MIDDLE LAST
 

SEX OF THE CHILD

DATE OF BIRTH (Month, Day, Year)
Place of Birth

HOSPITAL NAME

CITY

COUNTY

STATE
Father’s Information

NAME OF FATHER – FIRST

MIDDLE

LAST

DATE OF BIRTH (Month, Day, Year)

SOCIAL SECURITY NUMBER

STATE OR FOREIGN COUNTRY OF BIRTH

CURRENT ADDRESS (Number, Street, City, State Zip)
Mother’s Information

NAME OF MOTHER – FIRST

MIDDLE

LAST

DATE OF BIRTH (Month, Day, Year)

SOCIAL SECURITY NUMBER

STATE OR FOREIGN COUNTRY OF BIRTH

CURRENT ADDRESS (Number, Street, City, State Zip)
SECTION B

As part of the filing procedure the child’s name may be changed at this time from the name appearing on the original birth certificate. A name change requested after this declaration is filed may require a court order. No white-out, erasures or cross-outs will be allowed in this section.

First

Middle

Last
SECTION C

READ OTHER SIDE BEFORE SIGNING

I declare under the penalty of perjury that:

The information I have provided is true and correct.

I am the legal father of the child named on this declaration.

I have read and understand the rights and responsibilities described on the back of this form.

I have been orally/audio informed of my rights and responsibilities.

I understand that by signing this form I voluntarily consent to the establishment of paternity and accept all of the rights and responsibilities as the legal father of this child.

I wish to be added to the child’s birth certificate.

A genetic test has not determined that another man is the legally presumed father of this child.

There is no court order or other Acknowledgment of Paternity form naming another man as the legal father of this child.

I declare under the penalty of perjury that:

The information I have provided is true and correct.

I am the natural mother of the child named on this declaration.

The man signing this form is the only possible father of this child.

I have read and understand the rights and responsibilities described on the back of this form.

I have been orally/audio informed of my rights and responsibilities.

I understand that by signing this form I am establishing the man signing this form as the legal father of this child with all the rights and responsibilities of a legal father.

I consent to adding the name of the man signing this form to the birth certificate of the child’s birth certificate

A genetic test has not determined that another man is the legally presumed father of this child.

There is no court order or other Acknowledgment of Paternity form naming another man as the legal father of this child.
SECTION D

SIGNATURE OF FATHER

DATE SIGNED

SIGNATURE OF MOTHER

DATE SIGNED

WITNESS OF FATHER’S SIGNATURE

DATE SIGNED

WITNESS OF MOTHER’S SIGNATURE

DATE SIGNED

Once this document is signed by all parties, please provide copies to the mother, father and hospital. The original document must be sent to the Nevada Office of Vital Records, 4150 Technology Way, Suite 104, Carson City, NV 89706 for filing.

Rights and Responsibilities of Acknowledging Paternity

By Signing This Declaration of Paternity:

1. You are acknowledging that you are the legal father of this child which, after 60 days, creates a legal determination that you are the father.

2. There will be no hearing or trial held on the issue of paternity at this time and you waive your right to genetic testing.

3. You have a duty to financially support the child, which is a separate issue from visitation and custody of the child.

4. A court order may order you to pay child support for the child until the child reaches 18 years of age, or 19 if still in high school, or otherwise declared free from your parental control by a court.

5. A court may order the withholding or assignment of your wages or commissions.

6. A court may order you to furnish health insurance for the child.

7. A court may order you to pay reasonable expenses of the mother’s pregnancy and confinement costs, which include birth expenses and public assistance provided on behalf of the child.

8. You have rights concerning custody and visitation of the child. Please be advised that physical custody of the child is generally granted to the biological unwed mother. If both father and mother cannot agree to an arrangement for visitation and/or custody, then you must pursue a separate legal action through the courts. You may need to hire a private attorney to assist you.

9. Unless you can show special circumstances of fraud, duress or material mistake of fact, under Nevada law you may not be able to petition the court to declare that you are not the legal father of the child. You may need to hire a private attorney to assist you.

10. This declaration of paternity can be revoked or rescinded within 60 days after the filing with the state registrar or within 60 days after you turn 18 years old, whichever is later. However, your name will remain on the birth certificate until a court declares that you are not the legal father of this child.

Mailing Instructions

Please mail the completed form to the office of Vital Records, 4150 Technology Way, Suite 104, Carson City, Nevada 89706. There is a $40 charge to amend a certificate already on file in the office of Vital Records. This fee includes a certified copy of the amended or new record. Additional copies are $20 each. Please make your cashier’s check or money order out to Nevada Vital Records.

Please allow 4-8 weeks to process your request. Any questions concerning paternity actions should be addressed to the State Office of Vital Records at the above address, or by calling our office at (775)684-4242.

Name

Street Address or PO Box

City State ZIP Code

Enter text✕
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What the Nevada Declaration of Paternity Form Is and When It Matters

The Nevada Declaration of Paternity Form is a legal document used to establish the biological father of a child when parents are unmarried at the time of birth. When completed and filed with the appropriate Nevada vital records office or family court, the form can be used to add the father’s name to the birth certificate, support child support and custody processes, and enable access to benefits tied to parentage. The form is typically completed by both parents, may require notarization, and becomes part of the child’s permanent record once processed by state agencies.

Why completing a Declaration of Paternity matters in Nevada

Establishing paternity using the Nevada Declaration of Paternity Form creates a legal parent-child relationship without a court contest, which affects birth records, parental rights, child support obligations, and access to health and social benefits.

Why completing a Declaration of Paternity matters in Nevada

Who typically completes a Nevada Declaration of Paternity Form

Completing the form correctly benefits parents, the child, and government agencies by reducing later disputes and streamlining records.

  • Unmarried parents: Mothers and presumed fathers who agree on parentage and want the father on the birth certificate and to establish parental rights.
  • Hospitals and birthing centers: Facility staff often provide the form at birth and may assist with initial completion and signatures.
  • Family law professionals: Attorneys, child support agencies, and courts use the form to formalize parentage and support orders.

Stepwise process to complete the Nevada Declaration of Paternity Form

Follow these sequential steps to prepare, sign, and file the form with minimal friction.

  • 01
    Confirm eligibility: Ensure both parties are willing and the child is eligible for declaration procedures.
  • 02
    Complete fields: Fill every required field using legal names and MM/DD/YYYY dates.
  • 03
    Sign and notarize: Sign in front of a notary or witness if the state or local office requires it.
  • 04
    File with office: Submit the signed form to the designated county vital records office or family court.

Where to file or send the Nevada Declaration of Paternity Form

Select the correct filing destination based on whether you are updating a birth certificate or seeking a court order establishing paternity.

  • State Vital Records: File to add the father’s name to the birth certificate when required by the Office of Vital Records.
  • County Recorder or Clerk: Some county offices accept filings or can redirect you to the correct state agency.
  • Family Court: Use the court when paternity is contested or you need a judicial declaration or support order.
  • Child Support Enforcement: Child support agencies may accept the form to register paternity for enforcement and benefit establishment.

Preparing an online workflow for the form

Set up a simple digital workflow to collect signatures, verify identity, and route the completed form to the appropriate office.

Upload Document Import a PDF or Word template of the Nevada form into your e-sign platform.
Add Fields Place name, date, and signature fields; mark required fields for validation.
Authentication Choose authentication level: email link, SMS code, or stronger verification.
Attach Proof Enable upload fields for IDs, birth certificates, or supporting documents.
Routing & Submit Configure recipients and automatic submission to the selected filing office.

Technical considerations for digital signing and submission

Ensure the chosen platform meets state requirements for notarization, retention, and data protection before e-submitting official records.

  • File Formats: PDF, DOCX
  • Integrations: Salesforce, NetSuite
  • Authentication: Email, SMS, KBA

Essential data elements required on the form

Child Name: Full legal name required
Child DOB: MM/DD/YYYY format
Mother Name: Full legal name
Father Name: Full legal name
Father TIN: SSN or TIN digits
Signatures: All parties must sign and date

Potential consequences of incorrect or fraudulent filings

Invalid Record: May be rejected
Perjury Risk: Legal penalties possible
Support Liability: Creates child support obligations
Benefits Impact: Affects benefits eligibility
Tax Withholding: 24% backup withholding risk
Filing Delays: Processing and match issues

Common mistakes to avoid when preparing the form

  • Entering nicknames or initials instead of full legal names, which can prevent matching to birth records and delay acceptance.
  • Omitting or mistyping the child’s date of birth, leading to mismatches and extra verification steps by the vital records office.
  • Failing to obtain required notarization or witness signatures when local rules demand them, which can render the form invalid.
  • Submitting incomplete identification or missing supporting documents, causing processing delays and requests for additional evidence.

Timing considerations and processing expectations

There is no single federal deadline for filing a declaration of paternity; timing and processing vary by state and county office workload.

Immediate Filing:

Hospitals often provide forms at birth for same-day parentage designation.

Short-Term Processing:

Local offices may process within days to weeks depending on workload.

Court Actions:

Contested paternity can require court scheduling and hearings over multiple months.

Updates to Birth Record:

Expect administrative time to update certificates after acceptance.

Verify Local Rules:

Deadlines for supporting evidence vary by county and agency.

Key milestones from completion to record update

Track these numbered stages to monitor progress from form completion through official record updates.

01

Form Completed

All required fields are filled and parties have signed.

02

Notarization Obtained

Notary or witness signs where required by local rules.

03

Form Filed

Submit to county vital records or family court as appropriate.

04

Record Updated

Birth certificate and agency records are amended after processing.

E-signature vendor comparison for completing and filing the form

Comparison of common eSignature providers and feature basics to consider when choosing a platform for secure signing and submission.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Frequently asked questions about the Nevada Declaration of Paternity Form

Answers to common questions about validity, notarization, amendment, and cross-jurisdiction recognition for the declaration.


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