Fillable CMPS Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA Plaintiff, (Family Law Self Help Center)

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CMPS Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA Plaintiff, (Family Law Self Help Center)

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© 2018 Family Law Self-Help Center Complaint for Paternity
* You are responsible for knowing the law about your case. For more information on the law, this form, and free
classes, visit www.familylawselfhelpcenter.org or the Family Law Self Help Center at 601 N. Pecos Road. To find
an attorney, call the State Bar of Nevada at (702) 382-0504.
1
CMPS
Your Name:
Address:
Telephone:
Email Address:
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
_
_____________________________
Plaintiff,
vs.
_
_____________________________
_
_____________________________
Defendant(s).
CASE NO.: ____________________
DEPT: ____________________
COMPLAINT FOR PATERNITY
Plaintiff (your name) _________________________________ is the (☒ check one) mother /
alleged father of the children named below, and respectfully states:
1. (Name of parent who is a Nevada resident) ____________________________ has been
a resident of the State of Nevada for at least six weeks prior to filing this Complaint.
2. The parties (
☒
check one) have / have not been married.
3. Children. There are (number) _______ minor children at issue:
Child’s Name Date of
Birth
State of
Residence
How long child
lived in the state
Paternity
Disputed
(put ‘X’ if
paternity
uncertain)
Page 2 of 5 - Complaint for Paternity
4. UCCJEA Declaration. (☒ check all that apply)
The child(ren) have lived in Nevada for the past six months, or since birth.
The child(ren) have NOT lived in Nevada for the past six months.
a. Living Arrangements Last 5 Years. The children have lived with the following
persons in the following places within the last five years:
Time Period
(mo/yr – mo/yr)
Name of Person the
Child(ren) Lived With:
City and State Child’s Name (if
not all children)
______ - present
______ - _____
______ - _____
______ - _____
______ - _____
The names and current addresses of each non-parent the children lived with during the
last five years are:
b. Participation in Other Cases: (☒ check one)
I have / have not participated as a party or witness or in some other capacity in any
other case involving the child(ren): (if you have, provide all specifics including the state,
the court, children involved, the case number and the date of the child custody order, if
any):
c. Knowledge of Other Cases: (☒ check one)
I do / do not know of a different case that could affect the current case: (if you do,
provide all specifics including the state, the court, parties involved, the case number and
the nature of the proceeding):
d. Person(s) Who Claim Custody / Visitation: (☒ check one)
I do / do not know of anyone other than the parents who has physical custody of the
child(ren) or who claims custody/visitation rights to the child(ren). (if so, list names and
addresses of anyone who claims custody/visitation rights)
Page 3 of 5 - Complaint for Paternity
5. Paternity. Paternity is disputed and/or needs to be established for the children indicated
above. (☒ check one)
No father is named on the birth certificate. I believe the father is (name of who
you believe is the father) ________________________________________
because: (☒ check all that apply)
DNA Test Requested. The judge should order a DNA test to determine
if this is the biological father.
DNA Test Completed. The parties already took a DNA test which
shows the man above is the biological father; a copy is attached.
Parents Lived Together. The parties lived together at least 6 months
before conception and lived together through the period of conception.
Admission. The man named above openly holds out the child as his
own and has accepted the child into his home.
Other (explain):
The wrong man is named as the father on the birth certificate. The birth
certificate incorrectly says that the father is (name of father on birth certificate)
________________________________________. Instead, the father should be
(name of true father) ________________________________________.
The Declaration of Paternity was signed due to fraud, duress, or material
mistake of fact because (explain the fraud, duress, or mistake):
6. Birth Certificate. If the alleged father is determined to be the legal father of the
child(ren), Plaintiff requests any necessary changes be made to the birth certificate(s).
Page 4 of 5 - Complaint for Paternity
7. Name Change. Once paternity is determined: (☒ check one)
The child’s name should not be changed.
The child’s name should be changed to (write the complete first, middle, and last
name the child should have) _____________________________________________
because (explain why you want to change the child’s name)
The child has not been convicted of a felony. Any child age 14 or older will file a
separate consent agreeing to the requested name change. The other parent’s name is
(name of the other parent) ____________________________________ and I believe
he/she lives at (other parent’s address) _____________________________________
This request is made pursuant to NRS 41.298.
8. Custody. If the alleged father is determined to be the legal father of the child(ren):
(☒ check one)
The Court SHOULD establish legal and physical custody orders, child support
orders, and appropriate health insurance orders.
The Court SHOULD NOT establish legal and physical custody orders, child
support orders, and appropriate health insurance orders.
Plaintiff requests:
1. That the Court grant the relief requested in this Complaint; and
2. For such other relief as the Court finds to be just and proper.
DATED (month) _______________________ (day) _____, 20____.
Submitted By: (your signature) _______________________________
(print your name) _______________________________
/s/
Page 5 of 5 - Complaint for Paternity
VERIFICATION
Under penalty of perjury, I declare that I am the Plaintiff in the above-entitled action; that
I have read the foregoing Complaint and know the contents thereof; that the pleading is true of
my own knowledge, except for those matters therein contained stated upon information and
belief, and that as to those matters, I believe them to be true.
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
DATED (month) _______________________ (day) _____, 20____.
Submitted By: (your signature) _______________________________
(print your name) _______________________________
/s/
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CMPS Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA Plaintiff, (Family Law Self Help Center)

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Completed 15 January 2021

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