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A judges order must be written, signed by (Family Law Self Help Center)

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Many family law matters involve complex and valuable legal rights which cannot adequately be protected without the assistance of an
attorney. The information provided is basic, general information that does not fit all situations. It is the duty of each self-represented
individual to know what rules of court and law apply. For more information on the law, these forms, and free classes, visit
www.familylawselfhelpcenter.org or the Family Law Self Help Center at 601 N. Pecos Road.
A judge’s order must be written, signed by the judge, and filed to be enforceable.
Please follow these instructions carefully.
Failure to do so may mean that your order cannot be enforced.
1. Fill out the order. This is the final order that will declare a man not to be the father of a child and
will include any orders to change the birth certificate. Fill this out so it includes everything ordered
by the court.
2. Sign the last page of the order below “Respectfully Submitted.”
3. Submit the original Order to the judge. Take it to the drop box on the first floor outside the Self
Help Center (or mail it to the court). The box says “Department Drop Box.”
4. Wait for the judge to review and sign your Order. It can take up to two weeks for the judge to
review your Order from the time you dropped it off.
After the judge signs the order, the judge’s staff will either mail the order back to you or will contact
you to come pick it up. If the judge’s staff asks you to file the order, make sure you take it to the
Clerk’s Office so it can be filed into your case.
Note: If after two weeks you have not received your Order you may call the judge’s staff to check
the status.
5. Prepare and File the Notice of Entry of Order. This form tells the other party that an order has
been entered. Filing this form starts the timelines for anyone who wants to appeal, and is required
so the judge can enforce the order in the future if needed.
**Attach a copy of the filed Order to this form.** Be sure to fill out the “Certificate of Mailing”
section at the bottom, because you will have to mail a copy of the form to the other party the same
day you file it.
File the original with the clerk, and make a copy for the other party.
6. Mail one copy of the Notice of Entry of Order/Judgment (with the court’s order attached) to the
other party.
7. Notify Vital Statistics. You will need to provide vital statistics with a certified copy of the court
order so the birth certificate can be changed. Contact the office of vital statistics in the state where
the child was born to find out their requirements. You can reach Nevada’s Office of Vital Statistics
at http://dpbh.nv.gov/Programs/BirthDeath/Birth_and_Death_Vital_Records_-_Home/ or by calling
(775) 684-4242.
© 2016 Clark County Family Law Self-Help Center Paternity Order
1
PAT
Your Name: ________________________
Address: ___________________________
City, State, Zip: _____________________
Phone: ____________________________
Email: ____________________________
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
_
_____________________________
Plaintiff,
vs.
_
_____________________________
Defendant(s).
CASE NO.: _______________________
DEPT: _______________________
DATE OF HEARING: ______________
TIME OF HEARING: ______________
PATERNITY ORDER
This Order was submitted ( check one) after a hearing / without a hearing before
the above-entitled court, and after a review of the pleadings and papers on file and the testimony
given, if any, this Court finds that it has jurisdiction over this matter and that is in the best
interest of the child to have paternity adjudicated, therefore:
IT IS HEREBY ORDERED that the birth certificate of the minor child, (first child’s
full name) ______________________________________________________, born on (date of
birth) ________________, in (city and state where born) _____________________________,
shall be amended as follows:
ADD the correct legal father (full name of father to be added to the birth certificate, or
“none” if no father) _____________________________________________________.
REMOVE the currently named incorrect father (full name of man to be removed from the
birth certificate, or “n/a” if none) __________________________________________.
( check one)
The child’s name shall remain unchanged.
The child’s name shall be changed to (child’s new first, middle, and last name)
____________________________________________________________________.
Page 2 of 2 – Paternity Order
IT IS FURTHER ORDERED that the birth certificate of the minor child, (second
child’s full name or “n/a”) ____________________________________________, born on (date
of birth) ________________, in (city and state where born) _____________________________,
shall be amended as follows:
ADD the correct legal father (full name of father to be added to the birth certificate, or
“none” if no father) _____________________________________________________.
REMOVE the currently named incorrect father (full name of man to be removed from the
birth certificate, or “n/a” if none) __________________________________________.
( check one)
The child’s name shall remain unchanged.
The child’s name shall be changed to (child’s new first, middle, and last name)
____________________________________________________________________.
IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the Department of
Vital Statistics shall issue a new birth certificate for the above-named child(ren) reflecting the
changes above.
DATED this (day) ______ day of (month) ______________, 20____.
____________________________________
DISTRICT COURT JUDGE
Submitted By: (your signature) _______________________________
(print your name) _______________________________
/s/
ATTACH A FILED COPY OF THE COURT’S ORDER TO THIS NOTICE
©Clark County Family Law Self-Help Center Notice of Entry of Order or Judgment
Rev. Jul-15
NEJ
Name: _________________________
Address: _______________________
City, State, Zip: __________________
Phone: _________________________
Email: _________________________
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
________________________________
Plaintiff,
vs.
________________________________
Defendant.
CASE NO.: ____________________
DEPT: ____________________
NOTICE OF ENTRY
OF ORDER / JUDGMENT
PLEASE TAKE NOTICE that an Order and/or Judgment was entered in this matter on
(date of order: month) ____________________ (day) _____, 20___, a copy of which is attached.
DATED (month) ___________________ (day) _____, 20___.
Submitted By: (Your signature)________________________________
CERTIFICATE OF MAILING
I, (your name) _________________________________ declare under penalty of perjury
under the law of the State of Nevada that on (month)_______________________ (day)______,
20___, I served this Notice of Entry of Order/Judgment by depositing a copy in the U.S. Mail
in the State of Nevada, postage prepaid, addressed to:
Name of Person Served: ________________________________
Address: ________________________________
City, State, Zip ________________________________
DATED (month) ___________________ (day) _____, 20___.
Submitted By: (Your signature)________________________________
/s/
/s/
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Completed 15 January 2021

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