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Alabama Request for Certified Copy of Acknowledgment of Paternity (ADPH-HS-21)

Official state formParentage and paternityForm ADPH-HS-21Free downloadLast verified November 10, 2026

Request for a certified copy of an Acknowledgment of Paternity on file in Alabama. It is a restricted record. The form is mailed to the Center for Health Statistics in Montgomery or taken to a local Alabama county health department.

Who can use this form

  • An immediate family member.
  • A person who demonstrates a legal right to the record (Code of Alabama 22-9A-21).
  • By signing, the applicant certifies a legal right to the record.

What to send with it

  • The completed form with the applicant section filled in and signed.
  • Valid identification. The ID requirements are printed on the back of the form.
  • The $15 search fee. A check or money order payable to "Center for Health Statistics". Do not send cash.

Where to send it

Mail to
Alabama Department of Public Health Center for Health Statistics P.O. Box 5625 Montgomery, AL 36103-5625
State fee
$15 record search fee, which includes one certified copy or a Certificate of Failure to Find. Additional copies of the same record ordered at the same time are $6 each. Fees are non-refundable.
Typical processing
Not provided
Form revision
Rev. 10/2024
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Alabama Request for Certified Copy of Acknowledgment of Paternity (ADPH-HS-21) | Alabama Form