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Get Louisiana Paternity Form 2010-2024

S before you sign the affidavit. SECTION I. CHILD'S INFORMATION This is a legal document. Complete in ink and do not alter. Name of Child - First, Middle, Last (As it appears on birth certificate) Date of Birth - (Month, Day, Year) Place of Birth - City, State Name of Hospital SECTION II. MOTHER'S INFORMATION DISTRIBUTION OF COPIES: Original to Registrar of Vital Records, Copies to Child Support, Mother and Father. Name of Mother - First, Middle, Last (Maiden Name) Date of Birth - (Mo.

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