Nyack, NY · Rockland County
Acknowledgment of Parentage
This voluntary form lets eligible birth parents and other parents acknowledge a child’s parentage and provide information for the child’s birth record.
What this form is
The form records the child’s information and the birth parent’s and other parent’s details, signatures, and required witness signatures. Eligible parents may use it to establish parentage and, when applicable, request a change to the child’s last name on an already-filed birth certificate. The instructions say to file the original with the registrar of the district where the birth certificate is filed if it was not signed at a hospital or social services district.
Who needs it
An eligible birth parent and other parent may complete this form voluntarily to establish parentage for a child and provide information for the birth record.
How to submit it
If it was not signed at a hospital or social services district, mail or take the original to the registrar of the district where the birth certificate is filed.
About notarization
This document is signed without a notary; each parent’s signature section requires two witnesses who are not related to either parent.
How to submit this form
- 1
Download the Form
Download the Acknowledgment of Parentage PDF and read the entire form and notice before signing.
- 2
Complete the Form
Type or print clearly in black ink and fill in the child’s and both parents’ information.
- 3
Arrange Witnesses
Each parent’s signature section requires two witnesses who are not related to either parent.
- 4
File the Original
If not signed at a hospital or social services district, mail or take the original to the registrar where the birth certificate is filed.
Frequently asked questions
- Do I need a notary for the Acknowledgment of Parentage?
- No. The form does not require notarization, but each parent’s signature section requires two witnesses who are not related to either parent.
- How do I submit the Acknowledgment of Parentage?
- If you did not sign it at a hospital or social services district, mail or take the original to the registrar of the district where the birth certificate is filed.
- Who can sign an Acknowledgment of Parentage?
- The form describes two eligible pairings: an unmarried birth parent and an alleged parent, or a married or unmarried birth parent and an intended parent.
- Is signing the Acknowledgment of Parentage voluntary?
- Yes. The form states that signing is voluntary and explains that it has legal consequences, including establishing parentage and a duty to support the child.
Need something notarized?
This Acknowledgment of Parentage doesn’t need a notary — but if you have another Nyack form that does, a commissioned online notary can help.