Kansas Paternity Consent Form and Order to Change Birth Registration

Amend a child's birth registration by filing this Kansas Paternity Consent Form for Birth Registration with the District Court.

• The Consent Form is required to change the child's name in the situation where no father's name appears on the birth certificate and the mother was not married when the child was born.
• Each of the natural parents must swear the proper affidavit (included in the form).
• The form includes an order of the District Court ordering the State Registrar to prepare a new birth registration.

This Kansas Paternity Consent Form and Order to Change Birth Registration is a free MS Word download from the State of Kansas Office of Vital Statistics.