Illinois Voluntary Acknowledgment of Parentage (HFS 3416B)
Illinois Department of Healthcare and Family ServicesParentage and paternityForm HFS 3416BFree downloadLast verified November 10, 2026
Signed by the birth parent and the other parent to establish legal parentage and add that parent to the birth certificate without going to court. It is filed with the Illinois Department of Healthcare and Family Services, not with the vital records office.
Who can use this form
- The birth parent and the genetic or intended parent.
- It is not for surrogacy.
- If the birth parent was married to someone else at the birth or within 300 days before it, a Denial of Parentage is also required.
What to send with it
- The official English form. Each parent signs in front of a witness age 18 or older who is not named on the form.
- If it is signed at the hospital, the hospital sends it to the Department of Healthcare and Family Services.
- Otherwise it is filed with the Department of Healthcare and Family Services at the address on the form.
Where to send it
- Mail to
- HFS - Administrative Coordination Unit (ACU) PO Box 19152 Springfield, Illinois 62794-9152
- State fee
- Not provided
- Typical processing
- Not provided
- Issued by
- Illinois Department of Healthcare and Family Services
- Form revision
- R-01-26
- Source
- Official government page