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Florida Putative Father Registry Application for Search (DH 1963)

Official state formParentage and paternityForm DH 1963Free downloadLast verified November 10, 2026

Application for a search of the Florida Putative Father Registry. The State Registrar issues a certificate that lists matching registrations or states that there is no match. It is mailed to the Florida Department of Health, Vital Statistics, in Jacksonville.

Who can use this form

  • An adoption entity, in connection with a planned adoption
  • The registered unmarried biological father (notarized request)
  • The birth mother (notarized request)
  • The court, by order

What to send with it

  • Completed application
  • Notarized affidavit on page 2 and a copy of photo ID, if the applicant is the putative father or the birth mother
  • Check or money order payable to Vital Statistics

Where to send it

Mail to
DEPARTMENT OF HEALTH VITAL STATISTICS P.O. BOX 210 Jacksonville, FL 32231-0042
State fee
$9.00 search fee; optional $10 rush fee.
Typical processing
Generally within five work days
Form revision
07/2012
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Florida Putative Father Registry Application for Search (DH 1963) | Florida Form