IN THE COURT OF COMMON PLEAS OF YORK COUNTY, PENNSYLVANIA
ORPHANS’ COURT DIVISION
In Re:
(name as it appears on birth certificate)
File No.:
Date of Birth:
:
:
:
:
CERTIFICATION OF ACKNOWLEDGMENT OF PATERNITY
(The sole purpose of this form is to comply with Y.C.O.C.R. 15.4.1.)
I HEREBY certify that upon receipt of a request and review of the Bureau of Child
Support (BCSE) Paternity Tracking System (PTS) as well as the Pennsylvania Child Support
Enforcement System (PACSES), I have determined that as of this date, the _______ day of
________________, 20___ the following is true regarding the above-named child:
claim or acknowledgement is attached (redacting confidential information).
Acknowledgement of Paternity (AOP) is not on file:
a finding of paternity was made on the
day of
20
, as
follows:
has been identified as the parent of the
child by
(Court Order/AOP/Paternity typing).
No information regarding paternity is in the PTS or PACSES.
I further certify or affirm that I am an employee with the Domestic Relations Section of
County and am authorized to access the PTS and PACSES.
Date
Signature
Employee ID
Printed Name
Rev. 10/10/2018