PATERNITY ACKNOWLEDGMENT AND PARENTAL RESPONSIBILITIES AGREEMENT

(“Agreement”)

TABLE OF CONTENTS

I. Document Header ............................................................ 1
II. Definitions .................................................................. 2
III. Operative Provisions ......................................................... 4
IV. Representations & Warranties ................................................ 8
V. Covenants & Restrictions .................................................... 9
VI. Default & Remedies .......................................................... 11
VII. Risk Allocation ............................................................. 12
VIII. Dispute Resolution ......................................................... 13
IX. General Provisions ........................................................... 14
X. Execution Block ............................................................. 16

[// GUIDANCE: Page numbers are illustrative only. Adjust when finalizing layout.]

I. DOCUMENT HEADER

1. Parties
   1.1 Mother: [LEGAL NAME], residing at [ADDRESS] (“Mother”).
   1.2 Father: [LEGAL NAME], residing at [ADDRESS] (“Father”).
   1.3 Child: [CHILD’S FULL LEGAL NAME], born [DATE OF BIRTH] in [CITY/COUNTY], Oregon (“Child”).

2. Effective Date
   This Agreement is effective as of [EFFECTIVE DATE] (“Effective Date”).

3. Governing Law and Jurisdiction
   3.1 This Agreement is governed by the laws of the State of Oregon concerning paternity, parentage, and child support (“State Paternity Law”).
   3.2 Exclusive jurisdiction lies with the [COUNTY] County Circuit Court, Family Law Division (“State Family Court”).

4. Recitals
   A. Mother and Father engaged in a relationship resulting in the birth of Child.
   B. The parties wish voluntarily to acknowledge Father’s paternity of Child, allocate parental rights and responsibilities, and establish support consistent with Oregon law.
   C. The parties intend that this Agreement supplement—but not replace—the statutorily mandated Voluntary Acknowledgment of Paternity form filed with the Oregon Center for Health Statistics.

II. DEFINITIONS

For purposes of this Agreement, the following terms have the meanings set forth below. Defined terms appear in bold and apply singularly and plurally.

“Acknowledgment Form” – the official Voluntary Acknowledgment of Paternity form prescribed by the Oregon Health Authority.

“Child Support Guidelines” – the statewide formula promulgated under Oregon administrative rules for calculating child support.

“Genetic Testing” – DNA testing conducted by an accredited laboratory to establish biological parentage with at least a 99% probability.

“Health Insurance” – medical, vision, and dental coverage that meets minimum standards under Oregon law.

“Parenting Plan” – the schedule and protocols governing custody, visitation, and decision-making for Child.

“Support Enforcement Actions” – any action, motion, or proceeding initiated in State Family Court or through the Oregon Child Support Program to enforce child-support obligations.

“Written Notice” – a written communication delivered by (i) certified U.S. mail, return-receipt requested; (ii) nationally recognized courier with proof of delivery; or (iii) electronic mail with confirmation of receipt, in each case addressed to the recipient’s notice address set forth in Section IX.4.

[// GUIDANCE: Add additional definitions when customizing for clients (e.g., “Extraordinary Expenses,” “Tuition,” etc.).]

III. OPERATIVE PROVISIONS

3.1 Voluntary Acknowledgment of Paternity

(a) Execution. Within [5] business days after the Effective Date, Mother and Father shall fully complete, sign, and notarize the Acknowledgment Form and cooperate in its filing with the Oregon Center for Health Statistics.
(b) Legal Effect. Upon proper filing, Father shall be the legal parent of Child with all attendant rights and obligations under Oregon law.
(c) Rescission Window. Either party may rescind the Acknowledgment Form within sixty (60) days of execution, or prior to the date of a first court hearing relating to Child, whichever occurs first, by delivering Written Notice of rescission and filing the required rescission form.

3.2 Genetic Testing

(a) Election Right. Either party may, within the rescission window, demand Genetic Testing at the demanding party’s expense.
(b) Procedure. The parties shall attend sample collection appointments as scheduled by an accredited laboratory.
(c) Conclusive Results. A result of at least 99% probability of paternity shall be conclusive. A non-paternity result shall automatically terminate this Agreement and the Acknowledgment Form; each party waives any further claim for parentage absent court order.

3.3 Custody and Parenting Time

(a) Best Interests Standard. All custodial arrangements shall promote Child’s best interests.
(b) Parenting Plan. The Parenting Plan attached as Exhibit A is incorporated herein.
(c) Modification. Either party may seek modification in State Family Court upon a substantial change in circumstances.

3.4 Child Support

(a) Guideline Calculation. Child support shall be calculated in accordance with the Child Support Guidelines using the financial data in Schedule 1.
(b) Payment. Father shall pay [AMOUNT] per month, due on the [DAY] of each month, commencing [START DATE], by wage withholding unless the Oregon Child Support Program approves an alternate method.
(c) Adjustments. Support shall be recalculated every [24] months or upon (i) a 10% change in either party’s gross income lasting more than six months, (ii) a change in parenting-time percentage exceeding 25 overnight custodial days per calendar year, or (iii) a statutory amendment materially affecting the Guidelines.
(d) Extraordinary Expenses. The parties shall share uninsured medical, vision, and dental expenses in proportion to their respective incomes (currently []% Mother / []% Father).

3.5 Tax Dependency

Unless otherwise agreed in writing or ordered by a court, Mother shall claim Child as a dependent for federal and state tax purposes.

3.6 Health Insurance

Father shall maintain Health Insurance for Child and provide proof of coverage annually. If Father’s insurance lapses, Mother may obtain comparable coverage; Father shall reimburse premiums within ten (10) days of receiving documentation.

3.7 Education & Extracurricular Activities

The parties shall confer on major educational decisions and share reasonable extracurricular costs as mutually agreed in advance.

IV. REPRESENTATIONS & WARRANTIES

4.1 Capacity. Each party represents that he or she (i) is over eighteen (18) years of age, (ii) has the legal capacity to enter into this Agreement, and (iii) is not subject to any order preventing execution of this Agreement.

4.2 Full Disclosure. Each party warrants that the income and financial information provided for child-support calculation is true, complete, and accurate.

4.3 No Duress. Each party acknowledges entering this Agreement voluntarily and without duress, coercion, or undue influence.

4.4 Legal Counsel. Each party warrants that he or she (i) has been advised to seek independent legal counsel and (ii) either has consulted counsel or knowingly waives that right.

4.5 Survival. Representations and warranties survive the execution of this Agreement and remain in effect until satisfied or extinguished by operation of law.

V. COVENANTS & RESTRICTIONS

5.1 Cooperation with Filing and Enforcement. The parties shall take all actions reasonably necessary to effectuate the intent of this Agreement, including signing additional documents and cooperating with State agencies.

5.2 Relocation Notice. A parent relocating more than [60] miles from his or her current residence shall provide Written Notice to the other parent at least [30] days before relocation, unless excused by court order.

5.3 Non-Disparagement. Neither parent shall disparage the other in Child’s presence or permit third parties to do so.

5.4 Substance Abuse. Each parent shall refrain from consuming or being under the influence of illegal substances or impairing levels of alcohol during parenting time.

5.5 Compliance Monitoring. Each party shall furnish updated pay stubs, tax returns, and proof of insurance upon Written Notice from the other party not more than once every twelve (12) months absent court order.

VI. DEFAULT & REMEDIES

6.1 Events of Default
(a) Failure to pay child support in full within ten (10) calendar days of the due date.
(b) Failure to maintain Health Insurance as required.
(c) Material breach of any Parenting Plan provision.
(d) Violation of relocation notice requirements.

6.2 Notice and Cure
The non-defaulting party shall deliver Written Notice specifying the default. The defaulting party has ten (10) days to cure monetary defaults and thirty (30) days to cure non-monetary defaults, subject to shorter statutory periods for support enforcement.

6.3 Remedies
(a) Entry of judgment for arrears plus statutory interest.
(b) Wage withholding, tax intercepts, and suspension of licenses pursuant to State Paternity Law.
(c) Contempt proceedings in State Family Court.
(d) Attorney fees and costs to the prevailing party in any enforcement action.

VII. RISK ALLOCATION

7.1 Limitation of Liability
Except for child-support obligations and intentional misconduct, no party is liable for incidental, consequential, or punitive damages arising from this Agreement.

7.2 Force Majeure
A parent’s child-support obligation is not excused by force majeure. Parenting-time obligations may be temporarily suspended for events beyond the parent’s reasonable control (e.g., natural disaster, pandemic); missed parenting time shall be rescheduled promptly.

[// GUIDANCE: Under Oregon public policy, parents cannot contractually waive or cap child-support duties. The above liability cap expressly carves out “child-support obligations.”]

VIII. DISPUTE RESOLUTION

8.1 Governing Law
This Agreement is governed by State Paternity Law without regard to conflict-of-laws principles.

8.2 Forum Selection
All actions arising under or relating to this Agreement shall be brought exclusively in State Family Court.

8.3 Arbitration
Arbitration is not available for the subject matter of this Agreement.

8.4 Jury Waiver
By statute, paternity and child-support proceedings are tried to the court; no jury right exists, and none is waived hereby.

8.5 Injunctive Relief
Either party may seek immediate injunctive or equitable relief in State Family Court to enforce support obligations, protect Child’s welfare, or preserve the status quo pending adjudication.

IX. GENERAL PROVISIONS

9.1 Amendments
This Agreement may be amended only by a written instrument signed by both parties and, where required, approved by State Family Court.

9.2 Waiver
Failure to enforce any provision is not a waiver of future enforcement of that or any other provision.

9.3 Assignment
Parental rights and responsibilities are personal and may not be assigned.

9.4 Notices
All Written Notices must be delivered to the parties at the addresses set forth below (or any updated address provided by Written Notice).

• Mother: [ADDRESS & EMAIL]
• Father: [ADDRESS & EMAIL]

9.5 Severability
If any provision is held invalid or unenforceable, the remaining provisions remain in full force, and the invalid provision shall be reformed to the minimum extent necessary to achieve its original intent.

9.6 Entire Agreement
This Agreement (including all Exhibits and Schedules) constitutes the entire understanding between the parties concerning paternity acknowledgment and parental responsibilities for Child and supersedes all prior or contemporaneous communications on such subjects.

9.7 Counterparts; Electronic Signatures
This Agreement may be executed in counterparts, each of which is deemed an original, and all of which together constitute one instrument. Signatures transmitted by electronic means have the same effect as originals.

X. EXECUTION BLOCK

IN WITNESS WHEREOF, the parties have executed this Agreement as of the Effective Date.

NOTARY ACKNOWLEDGMENT

State of Oregon )
County of [__] ) ss.

On this _ day of ___, 20___, before me, the undersigned Notary Public, personally appeared [MOTHER NAME] and [FATHER NAME], personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed above, and acknowledged executing the same for the purposes therein contained.

Notary Public for Oregon
My Commission Expires: ___

EXHIBIT A – PARENTING PLAN

[Attach detailed schedule: weekly rotation, holidays, vacations, exchange logistics, decision-making protocol.]

SCHEDULE 1 – CHILD SUPPORT WORKSHEET

[Insert Oregon Child Support Program worksheet showing income, parenting-time credit, and guideline support amount.]

[// GUIDANCE:
1. File the signed Acknowledgment Form with the Oregon Center for Health Statistics within the statutory time frame.
2. Submit this Agreement to State Family Court for incorporation into a Judgment of Paternity or Supplemental Judgment of Custody/Support to ensure enforceability.
3. Update Exhibits and Schedules as circumstances change; obtain court approval for substantive modifications.]