Fillable PC 907 PC 700AR Live Cycle.pdf (State of Connecticut, Office of the Probate Court Administrator)

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PC 907 PC 700AR Live Cycle.pdf (State of Connecticut, Office of the Probate Court Administrator)

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BROWSE STATE OF CONNECTICUT, OFFICE OF THE PROBATE COURT ADMINISTRATOR (CT) FORMS

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Petition/Paternity Claim
PC-907 Page 1 of 2
CONNECTICUT PROBATE COURTS
Petition/Paternity Claim
PC-907 REV. 10/19
RECEIVED:
Instructions:
Probate Court Name District Number
Persons to Whom Notice Should Be Given (Names, addresses and relationships to child. C.G.S. section 46b-172a)
In the Matter of (Name and address of child)
Place and Date of Child’s Birth (or
month and year of expected birth)
Mother (Name, address and telephone number) Mother’s Date of Birth
Claimant/Putative Father (Name, address and telephone number) Putative Father’s Date of Birth
________________________________________________________________________________________________
Petitioner, if putative father deceased (Name, address and telephone number) Putative Father’s Date of Death, If
Deceased
1) Any person claiming to be the father of a child born out of wedlock may use this form to petition the
court to establish that he is the father of the child pursuant to C.G.S. section 46b-172a.
2) If the putative father of the child born out of wedlock is deceased, a person with a sufficient interest in
establishing paternity for the decedent may file the petition with the court.
3) For a child born on or after July 1, 1997, a petition to establish paternity may only be filed in the Probate
Court if there is no other person listed as the father on the child’s birth certificate.
4) The petition should be filed in the probate district in which either the mother or the child resides,
together with the JD-FM-164, Affidavit Concerning Children.
5) Contact the court regarding payment of service of process fees.
6) Type or print in ink. Use an additional sheet, or PC-180, if more space is needed.
RESET
Is there another man listed as the father on the birth certificate?
Petition/Paternity Claim
PC-907 Page 2 of 2
CONNECTICUT PROBATE COURTS
Petition/Paternity Claim
PC-907 REV. 10/19
If the putative father is deceased, state the petitioner’s interest in establishing the paternity of the putative father.
THE PETITIONER REPRESENTS that:
The last known addressessof the mother and child are listed above.
He is the father of the above-named child and will offer evidence of his paternity.
He understands that the claim for paternity shall be admissible in any action for paternity brought under C.G.S.
section 46b-160 and shall bar him from denying his
paternity of the
chi
l
d.
By filing this claim, he acknowledges liability for contribution to the support and education of the child after
its birth and for contribution to the pregnancy-related medical expense of the mother.
The putative father is deceased, and the petitioner will offer evidence of his paternity.
The petitioner further represents that to the best of his or her knowledge and belief:
The minor child has resided has not resided in Connecticut continuously for the last six months.
There is a proceeding is not a proceeding pending or contemplated in Connecticut or any other state affecting
the custody of the minor child.
There has been a proceeding has not been a proceeding in the past in Connecticut or any other state
affecting the custody of the minor child.
THEREFORE, the claimant/petitioner requests that:
The court determine that the claimant/putative father is the father of the child.
The court change the name of the child to: _______________________________________________
The representations contained in this petition are made under penalty of false statement.
Signature of the Claimant/Petitioner___________________________ Date______________________
Was the mother married at the time of the child’s birth?
(If yes, list name and address of that spouse.)
(If yes, list name and address.)
Yes
Yes
No
No
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PC 907 PC 700AR Live Cycle.pdf (State of Connecticut, Office of the Probate Court Administrator)

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Completed 21 July 2020

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