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FC Form 103.8 Affidavit Regarding Biological Father
Placement of
Case number
Check all statements that apply regarding the biological father
A parent and child relationship has not been established between the child and the natural father pursuant to Sections 3111.01 to 3111.18 or 3111.38 to 3111.54 of the Ohio Revised Code
A parent and child relationship has not been established between the child and the natural father by an acknowledgement of paternity by the father as provided in sections 3111.20 to 3111.35 of the Ohio Revised Code
No male person has signed the birth certificate as an informant as provided in Section 3705.09 of the Ohio Revised Code
The identity of the father is unknown
The father is known
Father name
Father residence address
The putative father is
Putative father name
Putative father residence address
Date
Sworn to before me day
Sworn to before me month
Sworn to before me year