REQUEST FOR SEARCH OF PUTATIVE FATHER REGISTRY FORM 3961 (REVISED 02 2018)-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section 1: REQUESTER’S INFORMATION. Enter your first, middle, and last name, followed by your complete address including city, state, and ZIP code. If applicable, include your county/DFACS and state bar membership number.
3. Proceed to Section 2: MOTHER’S INFORMATION. Input the legal first name, middle name, last name of the mother, and her last name at birth. Provide her address and social security number along with her date of birth and any other names she may be known by.
4. Next, fill out Section 3: CHILD’S INFORMATION. Enter the child's legal first name at birth, sex (male or female), middle name, last name at birth, date of birth, generation suffix (if any), and the city and state of birth.
5. Finally, sign and date the form at the bottom to authorize the request for a search of the Putative Father Registry.

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