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Your Name - the Clark County Courts in Las Vegas

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3. That <strong>the</strong> Pla<strong>in</strong>tiff and Defendant ( check one) have/ have not been married.<br />

4. That a court ( check one) has/has not entered an order regard<strong>in</strong>g custody, visitation,<br />

and/or child support.<br />

5. Paternity.<br />

A. Pla<strong>in</strong>tiff requests that <strong>the</strong> ( check one) Pla<strong>in</strong>tiff/Defendant be established as<br />

<strong>the</strong> fa<strong>the</strong>r of <strong>the</strong> child(ren) listed <strong>in</strong> Paragraph 6 because: ( check all that apply, if<br />

no statements apply go to Question B)<br />

The Pla<strong>in</strong>tiff and Defendant filed an Affidavit of Paternity with <strong>the</strong> Office of<br />

Vital Statistics more than six (6) months before <strong>the</strong> fil<strong>in</strong>g of this case and it has<br />

not been revoked.<br />

The alleged fa<strong>the</strong>r is named on <strong>the</strong> m<strong>in</strong>or child(ren)’s birth certificate.<br />

Paternity was established by a court order filed with (name of court)<br />

______________ case number ____________ on (date) _________________.<br />

B. Pla<strong>in</strong>tiff requests that <strong>the</strong> ( check one) Pla<strong>in</strong>tiff/Defendant be confirmed as<br />

<strong>the</strong> fa<strong>the</strong>r of <strong>the</strong> child(ren) listed <strong>in</strong> Paragraph 6 because: ( check all that apply)<br />

Pla<strong>in</strong>tiff and Defendant lived toge<strong>the</strong>r at least six (6) months before <strong>the</strong><br />

child(ren) was/were born and cont<strong>in</strong>ued to live toge<strong>the</strong>r after <strong>the</strong> child(ren)<br />

was/were born.<br />

The child(ren) was/were born with<strong>in</strong> 285 days after <strong>the</strong> Pla<strong>in</strong>tiff and Defendant<br />

were divorced or separated.<br />

The alleged fa<strong>the</strong>r has acted and presented himself to be <strong>the</strong> child(ren)’s fa<strong>the</strong>r.<br />

Genetic tests were completed to determ<strong>in</strong>e <strong>the</strong> biological fa<strong>the</strong>r of <strong>the</strong><br />

child(ren), a copy of which is/are attached.<br />

O<strong>the</strong>r:__________________________________________________________<br />

*** Important***<br />

If you checked a box under Question A, check <strong>the</strong> box at <strong>the</strong> top of Page 1 that says: “Compla<strong>in</strong>t to Establish<br />

Paternity, Custody, Visitation, and Child Support”.<br />

If you checked a box under Question B, check <strong>the</strong> box at <strong>the</strong> top of Page 1 that says: “Compla<strong>in</strong>t to Establish<br />

Custody, Visitation, and Child Support”.<br />

©<strong>Clark</strong> <strong>County</strong> Family Law Self-Help Center<br />

Rev. 4/1/11<br />

2<br />

Packet 67, 68 & 69 2010.doc<br />

ALL RIGHTS RESERVED

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