Rev. 1/21
© 2008 Alabama State Bar
Form PS–04
Page 1 of 2 Rev. 1/21
Petition to Establish Paternity
Case Number:
In the
Court of (county):
County, Alabama
State of Alabama, ex rel.
v.
Plaintiff’s First and Last Name
(the person filing this Petition)
Defendant’s First and Last Name
(the other parent)
Important! You must file this form in the same county where the child lives.
q Name, address, and date of birth of the child involved in this paternity case (print):
Child’s Name: Date of Birth (mm/dd/yyyy):
first middle last
Address:
street address city county state zip
w Information about the man you think is the child’s biological father:
Alleged father’s name:
first middle last
zip
Address:
street address city state
I do not know.
Has this man ever been married to the mother of this child? Yes No
Does the child's birth certificate list this man as the father? Yes No*
*If No, who is listed as the father?
e Information about this child’s birth mother:
Mother’s name:
first middle last
Address:
street address city state zip
Phone #: (
)
Was the mother married to another man during the 12 months before the child was born?
Yes* No
*If Yes, fill out below:
first middle last
Husband’s name:
Address:
street address city state zip
Date of marriage:
Date of divorce (if applicable):
