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):
Rev. 1/21
© 2008 Alabama State Bar
Form PS–04
Page 2 of 2
Rev. 1/21
Petition to Establish Paternity
Case Number:
r Genetic Testing
Do you want the Court to order genetic testing to prove that the man whose name is listed in
2
is the father of this child? Yes No
If you check “Yes,” the court may ask you to pay all or part of the cost of the genetic tests.
t Other Cases Involving This Child
Has this child been involved in any other court case, like child support, juvenile, DHR, or other
paternity cases? Y es* No
*If Yes, fill out below:
When and where were the orders made?
What kind of orders did the court make?
Date County State
t I ask the Court:
for a hearing to decide if the Defendant is the legal father of the child listed above, and
to make the Orders I have asked for in this Petition and any other orders I may be entitled to.
Date:
Petitioner’s Signature
click to sign
signature
click to edit