Paternity Agreement
ARKANSAS ACKNOWLEDGMENT OF PATERNITY PREPARATION PACKET
Do not sign or file this packet as an AOP. Use the current Arkansas Acknowledgment of Paternity form and instructions supplied by an authorized state source.
Keep parentage separate from parenting terms. A valid acknowledgment has significant statutory effect, but this worksheet does not start child-support services, award custody or visitation, or create private enforcement remedies.
1. Select the Correct Parentage or Birth-Record Route
The Arkansas Office of Child Support Enforcement states that a mother and father may voluntarily sign an Acknowledgment of Paternity before the child turns eighteen. The correct procedure depends on marriage and the current birth record.
| Route question | Response |
|---|---|
| Child was born in Arkansas | ☐ Yes ☐ No ☐ Uncertain |
| Child is under eighteen | ☐ Yes ☐ No ☐ Uncertain |
| Mother and proposed father agree he is the biological father | ☐ Yes ☐ No ☐ Uncertain |
| Genetic testing is desired or paternity is uncertain | ☐ No ☐ Yes — stop before signing |
| Mother was married to proposed father at conception or birth | ☐ No ☐ Yes: [________________________________] |
| Mother was married to another man at conception or birth | ☐ No ☐ Yes: [________________________________] |
| A different person is currently listed as father | ☐ No ☐ Yes: [________________________________] |
| Mother and biological father married after birth | ☐ No ☐ Yes: [________________________________] |
| Another acknowledgment, adjudication, adoption, or parentage claim exists | ☐ No ☐ Yes: [________________________________] |
| Existing support, custody, visitation, child-welfare, or protection case | ☐ No ☐ Yes: [________________________________] |
| Force, threat, coercion, safety, or confidential-address issue | ☐ No ☐ Yes: [________________________________] |
Agency-described routes:
☐ Ordinary AOP — parents were not married to one another from conception through birth and remain unmarried
☐ Three-way paternity affidavit — mother was married to another man, with mother, husband or former husband, and biological father participating
☐ Affidavit for correction — mother and biological father were married to one another and no father is listed
☐ Legitimation paperwork — unmarried at birth but mother and biological father later married
☐ Court order — another person is already listed, paternity is disputed, or the administrative route is unavailable
The Arkansas Department of Health states that changing a record generally requires a court order when another person's name is already listed. It also provides specific three-way, correction, and legitimation routes. Obtain the current written instructions before selecting one.
2. Parent and Child Information Worksheet
| Item | Information |
|---|---|
| Child's full name on current birth certificate | [________________________________] |
| Child's date and place of birth | [__/__/____] — [________________________________] |
| Child's current surname | [________________________________] |
| Requested surname, if permitted | [________________________________] |
| Mother's full legal and maiden names | [________________________________] |
| Mother's date of birth and address | [________________________________] |
| Proposed father's full legal name | [________________________________] |
| Proposed father's date of birth and address | [________________________________] |
| Husband or former husband's information, if applicable | [________________________________] |
| Person currently listed as father, if any | [________________________________] |
| Existing court or OCSE case number | [________________________________] |
Transfer Social Security numbers and other protected identifiers directly to the current official form. Do not retain them in this worksheet when unnecessary or unsafe.
3. Obtain and Review the Current Official Forms
The Arkansas Department of Finance and Administration states that AOP forms are available from:
- birthing hospitals;
- the Arkansas Department of Health; and
- any local Office of Child Support Enforcement.
The Department of Health also accepts requests to mail the appropriate form and instructions. Do not rely on the old template's unsupported “HS-15” form number or use a private affidavit.
| Official-form item | Record |
|---|---|
| Form obtained from | [________________________________] |
| Form title and revision | [________________________________] |
| Route-specific instructions received | [__/__/____] |
| Required signers confirmed | [________________________________] |
| Birth-record amendment fee confirmed | [________________________________] |
Under Ark. Code Ann. § 20-18-408, the person responsible for birth-registration information must give qualifying unmarried parents an opportunity to complete an affidavit for filing with Vital Records and provide written information explaining the implications, parental rights, responsibilities, benefits of establishing paternity, and available services.
4. Voluntariness and Genetic-Testing Decision
Before signing, each proposed signer should confirm:
☐ I read and understand the complete current form, instructions, legal consequences, rights, responsibilities, and alternatives.
☐ I understand that signing is voluntary.
☐ I understand that a valid acknowledgment creates legal fatherhood and may support later support or visitation proceedings.
☐ I understand that signing does not automatically open an OCSE child-support case or create a custody or visitation order.
☐ I am certain the proposed father is the biological father and the selected route is correct.
☐ I am signing without fraud, duress, force, threat, coercion, or material mistake of fact.
☐ I had an opportunity to obtain independent Arkansas legal advice.
Testing status: ☐ Completed and reviewed ☐ Not requested because paternity is certain ☐ Requested — do not sign yet
Testing provider, report date, and result: [________________________________]
OCSE advises parents who are uncertain not to sign and recommends genetic testing. No blood or genetic test is required merely to use the voluntary AOP route when both parents are certain.
5. Execute the Correct Official Form
OCSE states that both parents must sign the AOP and have their signatures witnessed and notarized by a notary public. For the three-way route, the Department of Health instructs the mother and husband or former husband to sign the back, the mother and biological father to sign the front, and both sides to be notarized.
☐ Every required signer reviewed the complete form before signing.
☐ Names and birth information match identification and the birth record.
☐ Mother signed where required.
☐ Biological father signed where required.
☐ Husband or former husband signed the required section, if applicable.
☐ Every required signature was properly witnessed and notarized.
| Execution item | Record |
|---|---|
| Mother's notarized signature date | [__/__/____] |
| Biological father's notarized signature date | [__/__/____] |
| Husband/former husband's notarized signature date | [__/__/____] |
| Last notarized signature date | [__/__/____] |
| Notary or notaries | [________________________________] |
Arkansas Vital Records Rule 5.4 describes the acknowledgment supporting a new certificate as a sworn acknowledgment signed by both parents. Do not use this packet's signature lines, counterparts, or unsupported electronic signatures as a substitute.
6. File With Arkansas Vital Records and Track the Birth Record
Ark. Code Ann. § 9-10-120 provides that, upon submission of the acknowledgment to the Division of Vital Records, the State Registrar establishes a new or amended birth certificate reflecting the father's name. The Department of Health explains that route-specific paperwork and a birth-record amendment fee may apply.
OCSE states that parents of an Arkansas-born child may sign outside Arkansas before a notary and mail the AOP to the address on the form. There is no charge for signing the AOP, although Vital Records charges for amending a birth certificate.
| Filing item | Record |
|---|---|
| Person or facility responsible for filing | [________________________________] |
| Official form mailed or delivered | [__/__/____] |
| Delivery or transmission proof | [________________________________] |
| Vital Records receipt or filing confirmed | [__/__/____] |
| Birth-record amendment fee paid | [________________________________] |
| New or amended certificate received | [__/__/____] |
| Filed AOP copy preserved safely | [________________________________] |
7. Legal Effect; Support, Custody, and Visitation Remain Separate
Under Ark. Code Ann. § 9-10-120:
- the man is the child's father for all purposes when he and the mother execute a qualifying acknowledgment during the child's minority;
- the acknowledgment is a conclusive finding of paternity by operation of law, subject to § 9-10-115;
- it creates a parent-child relationship; and
- it supplies a basis for establishing and enforcing child support or visitation without another proceeding to establish paternity.
The AOP still does not calculate support, start OCSE services, or automatically grant custody or visitation. OCSE states that a custodial party must separately apply for child-support services or use an attorney, and that a father may use the AOP to ask a court to establish custody or visitation rights.
| Separate issue | Proposal or existing order |
|---|---|
| Legal and physical custody | [________________________________] |
| Visitation or parenting-time schedule | [________________________________] |
| Child-support calculation and payment route | [________________________________] |
| Medical support and insurance | [________________________________] |
| Safety conditions or supervised visitation | [________________________________] |
| Court, county, and case number | [________________________________] |
Do not attach private default clauses, cure periods, fee shifting, indemnity, damages caps, force majeure, arbitration, jury waivers, automatic custody changes, tax allocations, or support terms to the AOP as though they were part of the statutory acknowledgment or a court order.
8. Rescission During the Statutory Period
Ark. Code Ann. § 9-10-115(c) permits either signatory to rescind by completing the official form and filing it with Vital Records before the earlier of:
- the date an administrative or judicial proceeding, including a support proceeding, is held relating to the child and involving that signer as a party; or
- sixty days after execution of the AOP.
The current Department of Health-linked rescission form is VR 25, Rescission of Acknowledgment of Paternity. Its instructions require the rescinding parent to complete the form, sign before a notary, and file it with Arkansas Department of Health Vital Records. The form lists a $15 fee and instructs the filer to send a copy to OCSE. Current OCSE guidance measures the sixty days from the last notarized AOP signature; because the statute and form use execution or signer language, calculate every potentially relevant date and obtain immediate advice when signatures occurred on different dates.
| Rescission-calendar item | Date |
|---|---|
| Rescinding signer's signature date | [__/__/____] |
| Last notarized AOP signature date | [__/__/____] |
| Sixtieth day under each calculation | [________________________________] |
| First related administrative or judicial proceeding | [________________________________] |
| Counsel-confirmed controlling cutoff | [__/__/____] |
| VR 25 notarized and filed | [__/__/____] |
| Vital Records receipt and OCSE copy confirmed | [________________________________] |
Do not use a private cancellation letter or the signatures below as a substitute for VR 25.
9. Challenge or Testing After the Rescission Period
After the rescission cutoff, § 9-10-115(d) permits a challenge to an AOP-based paternity establishment only upon an allegation of fraud, duress, or material mistake of fact. The challenger bears the burden of proof.
Section 9-10-115(e) also provides a specialized court-testing route when a man was adjudicated or deemed the father through an acknowledgment without scientific testing and was ordered to pay support. He may seek one paternity test during the period he must pay support, but an AOP-based motion must comply with the fraud, duress, or material-mistake requirement. Support and other legal obligations continue while the motion is pending unless the court finds and states good cause.
If testing excludes the man and the court so finds, § 9-10-115(f) directs the court to set aside paternity, end future support, vacate unpaid support under the prior order, leave previously paid support nonrefundable, and order deletion of his name from the birth certificate when applicable.
This packet is not a motion to challenge or disestablish paternity. OCSE does not provide disestablishment services. Obtain immediate Arkansas legal review.
10. Preparation Acknowledgment
The signatures below confirm only that the participants reviewed this preparation packet. They do not acknowledge, rescind, establish, or disestablish paternity and do not create custody, visitation, or support orders.
| Signer | Signature | Date |
|---|---|---|
| Mother | ______________________________ | [__/__/____] |
| Proposed biological father | ______________________________ | [__/__/____] |
| Husband or former husband, if applicable | ______________________________ | [__/__/____] |
| Reviewing Arkansas attorney, if any | ______________________________ | [__/__/____] |
Sources and References
- Arkansas Act 1091 of 1995 — original § 9-10-120 and related provisions
- Arkansas Act 1296 of 1997, § 9 — amendments to § 9-10-120
- Arkansas Act 1736 of 2001 — § 9-10-115 rescission, challenge, and testing
- Arkansas Act 60 of 2007 — current § 9-10-115(f) relief
- Arkansas Act 1254 of 1995, § 22 — § 20-18-408 notice requirements
- Arkansas DFA/OCSE — Paternity
- Arkansas Department of Health — Add or Remove Father's Name from Birth Record
- Arkansas Department of Health — VR 25 Rescission of Acknowledgment of Paternity
- Arkansas State Board of Health — 2022 Vital Records Rule
About this template
- Last updated
- August 8, 2026
- Citations checked
- August 8, 2026
- Jurisdiction
- Arkansas
- Category
- Family Law
Legal authority
- Ark. Code Ann. § 9-10-120 (effect of acknowledgment and birth record)
- Ark. Code Ann. § 9-10-115(c)-(g) (rescission, challenge, testing, and relief)
- Ark. Code Ann. § 20-18-408 (birth-registration notice and opportunity)
- Arkansas Vital Records Rule 5.4 (new certificate following acknowledgment)
- Arkansas Department of Health form VR 25, Rescission of Acknowledgment of Paternity
Family law covers the paperwork that shapes divorce, custody, child support, adoption, guardianship, and other family matters. These filings are emotional and high-stakes, and they also have to meet strict procedural rules for service, financial disclosure, and parenting plans. Clean, accurate paperwork keeps the focus on getting a workable outcome for the family instead of getting derailed by technical problems that delay hearings or force amended filings.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on August 8, 2026.
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