Obtain form from, and return form to:
Arizona Department of Health Services
Office of Vital Records
P.O. Box 3887
Phoenix, AZ 85030
Tel: 602-364-1300
Lack of knowledge of the pregnancy is not an acceptable reason for failure to file. 8-106.01(F).
Requires registrant claim paternity and signify intent to support the child.
Notarization required. Cost:
None indicated
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