Can this be e-signed under federal law?

Yes. Electronic signatures are generally enforceable under the ESIGN Act (15 U.S.C. ch. 96) and UETA in most states, provided the four-part validity test is satisfied: intent, consent, attribution, and record retention.

Is notarization always required?

Not always. Some states or receiving agencies require a notary or witnesses; others accept unsigned or electronically signed statements. Confirm local filing rules before submission to avoid rejection.

Can I use remote online notarization?

Possibly. Remote online notarization (RON) is permitted in many states, but rules differ. Verify the state's RON status and retention requirements for audio-video recordings before relying on remote notarization.

How do I correct an error after signing?

Do not alter the original. Prepare a signed, dated amendment or corrected affidavit and file it with the same clerk or agency, noting the reason for correction and linking to the original filing.

Can the statement be revoked?

Revocation depends on state law and the proceeding context. In adoption or court matters, a court may require formal revocation or supplemental filings; seek legal counsel for formal withdrawal steps.

Will this establish legal paternity by itself?

A signed statement can be evidence but does not always create legal paternity. Courts may require genetic testing or a judicial finding to adjudicate parentage conclusively in many jurisdictions.

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Statement of Putative Father

Statement of Putative Father

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Statement of Putative Father & Waiver of Counsel

Probate Court Form No. 135A

( Page 1 of 2 )

STATE OF VERMONT PROBATE COURT

DISTRICT OF DOCKET NO.

IN RE: ADOPTION OF

STATEMENT OF PUTATIVE FATHER

Pursuant to 15A V. S. A. 2-402 (a)(3)

and

WAIVER OF COUNSEL

Pursuant to 15A V. S. A. 3-503 (a)(1)

I, , of , hereby acknowledge that I have been named as the biological father of , born in , I hereby give notice to all interested parties as follows:

(Please check one )

I deny that I am the biological father of this child and have no further interest in any pending or proposed adoption proceedings concerning this child.

I admit that I am the biological father of this child, but I disclaim any interest in this child and waive further notice of any pending or proposed adoption proceedings concerning this child

I admit that I am the biological father of this child and object to any pending or proposed adoption. I wish to receive notice of all further adoption proceedings concerning this child.

I will I will not (please check one) provide birth parent information to the court. This information may be provided to the child when he or she attains the age of majority.

I hereby acknowledge that this notice is irrevocable and may be admitted into evidence in any adoption proceeding concerning .

I understand that I am entitled to be represented by an attorney who is not representing an adoptive parent or an agency to which the parent’s child is being relinquished.

I understand that these proceedings may result in the TERMINATION OF MY RELATIONSHIP TO MY CHILD.

I understand that an attorney will be appointed to represent me if I want an attorney and cannot afford to hire an attorney at my own expense.

Probate Court Form No. 135A

( Page 2 of 2 )

I DO NOT WISH TO BE REPRESENTED BY AN ATTORNEY, and I hereby waive my right to be represented by an attorney in these proceedings.

Please send all correspondence to me at the address below:

Signed in the presence of Notary Public or other person authorized by the Probate Court.

Subscribed and sworn to this day of 20 , Before me,

What the Statement of Putative Father Is

A Statement of Putative Father is a sworn affidavit used to declare or acknowledge a possible biological relationship between an individual and a child when paternity is in question. It is commonly used in adoption, hospital birth registration, child support, and family court matters to record a putative father's claim or assertion. The document typically identifies the parties, describes the circumstances, and is signed under penalty of perjury. Requirements and legal effect vary by state; courts may treat the statement as evidence but may require additional proof or court adjudication to establish legal paternity.

Why a Clear Statement Matters

A complete, accurate Statement of Putative Father helps preserve legal rights, supports timely child support or custody actions, and provides evidence for adoption or hospital records. Proper execution reduces delays in family court and administrative processes.

Who Typically Prepares or Signs This Form

Practical roles that interact with this document include biological fathers, birth mothers, adoption caseworkers, and family law attorneys.

Putative father asserting status for custody, visitation, or support purposes. Often needs this document to start legal or administrative processes.
Birth mother or guardian providing a record of the putative father when filing hospital birth paperwork or adoption disclosures.
Adoption agency or social worker collecting sworn statements for placement files and court petitions.

Each party should confirm state-specific signing, notarization, and filing rules before submitting the statement to a court or agency.

Step-by-Step: Completing the Statement

Follow these core steps to complete the Statement of Putative Father accurately and consistently.

01

Prepare: Collect IDs, the child's birth information, and any supporting documents.
02

Complete: Enter names, dates, and a concise declaration of relationship intent.
03

Verify: Check for spelling accuracy and consistency with government IDs.
04

Authenticate: Sign before a notary or follow state RON rules where applicable.

How to Configure a Digital Workflow for This Statement

Set up a clear electronic flow so all parties can sign, verify identity, and retain audit records.

Field	Configuration
Document format	PDF/A or DOCX preferred for long-term retention
Signer order	Putative father first, then witness or notary as required
Authentication	Email + SMS code or stronger KBA when needed
Audit trail	Enable timestamp, IP capture, and certificate of completion

Typical Submission Flow

A common end-to-end process ensures the statement is signed, authenticated, and routed to the correct agency or court.

Prepare document: Complete fields and add required notarization or witness blocks
Add signers: Assign roles and verification methods for each signer
Signer verifies: Signer confirms identity and signs electronically or in-person
Submit: Send to clerk, agency, or retention system with audit trail

eSignature Options for Executing a Statement

Choosing an eSignature provider affects authentication, audit trail quality, and cost. Compare starting prices and key capabilities before selecting a vendor.

	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	Available in higher tiers	Varies by plan	Varies by plan	Varies by plan	Varies by plan
Audit Trail	Yes — full audit trail	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes (BAA required)	Varies by plan	Varies by plan	Varies by plan	Varies by plan

Realistic Use Scenarios

These concise scenarios show how the statement is used in practice and the outcomes agencies or courts may expect.

Hospital Intake

A new father signs a putative father statement at the hospital to be listed on the birth record

Statement completed before discharge
The statement provided initial documentation for later paternity testing and administrative records, but the father later pursued formal legal adjudication in family court to establish enforceable rights.

Adoption Disclosure

An agency requests a sworn statement from a man who believes he may be the child’s father

Statement documents his assertion
The agency kept the affidavit in the placement file and provided it to the court; the court required additional testimony before terminating parental rights or seeking a final paternity judgment.

Common Pitfalls to Avoid

Incomplete identity details that do not match government IDs, causing verification or filing rejection and delays in court processing.
Using informal language or speculative statements that weaken evidentiary value and prompt requests for additional proof from courts.
Failing to notarize or follow RON procedures where required, which can render the affidavit inadmissible in some jurisdictions.
Submitting multiple conflicting statements without court clarification, increasing the risk of contested paternity proceedings.

Security and Compliance Essentials

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest

HIPAA: HIPAA-compliant options available; BAA required

ESIGN / UETA: Compliant with ESIGN and UETA standards

SOC 2: SOC 2 Type II certification available

21 CFR Part 11: Controls for FDA-regulated records available

WCAG: WCAG 2.0 Level AA accessibility support

Legal Risks and Potential Consequences

Invalid filing: May be rejected if not properly notarized

Delayed support: Can postpone child support or custody proceedings

Perjury risk: False statements may trigger perjury charges

Evidentiary limits: Court may require DNA or additional proof

Administrative denial: Agencies may refuse uncertified electronic copies

Conflicting declarations: Multiple assertions complicate adjudication

Timing Considerations and Typical Deadlines

Act promptly: statute of limitations, adoption timelines, or agency cutoffs can affect rights and remedies. Confirm exact deadlines with local authorities.

File promptly:

Submit the statement as soon as paternity is asserted to preserve legal options

Adoption schedules:

Provide required affidavits before agency or court adoption hearings

Support claims:

Early filing supports retroactive child support claims subject to state rules

Correction windows:

Correct errors quickly to avoid contested filings later

Local deadlines:

Court and agency timelines vary; verify with the clerk

Frequently Asked Questions

Answers to common procedural and legal questions about preparing, signing, and submitting the Statement of Putative Father.

Need help? Contact support

Can this be e-signed under federal law?
Yes. Electronic signatures are generally enforceable under the ESIGN Act (15 U.S.C. ch. 96) and UETA in most states, provided the four-part validity test is satisfied: intent, consent, attribution, and record retention.
Is notarization always required?
Not always. Some states or receiving agencies require a notary or witnesses; others accept unsigned or electronically signed statements. Confirm local filing rules before submission to avoid rejection.
Can I use remote online notarization?
Possibly. Remote online notarization (RON) is permitted in many states, but rules differ. Verify the state's RON status and retention requirements for audio-video recordings before relying on remote notarization.
How do I correct an error after signing?
Do not alter the original. Prepare a signed, dated amendment or corrected affidavit and file it with the same clerk or agency, noting the reason for correction and linking to the original filing.
Can the statement be revoked?
Revocation depends on state law and the proceeding context. In adoption or court matters, a court may require formal revocation or supplemental filings; seek legal counsel for formal withdrawal steps.
Will this establish legal paternity by itself?
A signed statement can be evidence but does not always create legal paternity. Courts may require genetic testing or a judicial finding to adjudicate parentage conclusively in many jurisdictions.

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