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Form ADPH-HS-21 Request for a Certified Copy of Acknowledgment of Paternity

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Form Instructions

INSTRUCTIONS: ALABAMA REQUEST FOR CERTIFIED COPY OF ACKNOWLEDGMENT OF PATERNITY (Form ADPH-HS-21)

To request a certified copy of acknowledgment of paternity in Alabama, use the form discussed in this article. This document can be obtained from the website maintained by the Alabama Department of Public Health.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 1: Enter the number of copies requested on the first blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 2: Enter the amount paid on the second blank line. The fee for the first copy is $15, followed by $6 for each additional copy.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 3: Enter the first, middle and last name of the child on the third blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 4: Enter the child's date of birth on the fourth blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 5: Enter the child's sex on the fifth blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 6: Enter the child's county of birth on the sixth blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 7: Enter the hospital on the seventh blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 8: Enter the full maiden name of the mother on the eighth blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 9: Enter the full name of the father on the ninth blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 10: Enter your signature on the tenth blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 11: Enter the date on the eleventh blank line.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 12: Print your name and daytime phone number on the next two blank lines.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 13: Enter your address, city, state and zip code on the next four blank lines.

Alabama Request For Certified Copy Of Acknowledgment Of Paternity ADPH-HS-21 Step 14: Enter your relationship to the person whose record is being requested and the reason for your request if not immediate family on the last two blank lines.

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