Florida Paternity Acknowledgement Rescission Affidavit (DH 2102)
Official state formParentage and paternityForm DH 2102Free downloadLast verified November 10, 2026
Notarized affidavit to cancel a paternity acknowledgment within the 60-day period set by section 742.10, Florida Statutes. It is mailed to the Bureau of Vital Statistics. It does not change the birth record; a court order is needed to remove the father's name.
Who can use this form
- The mother who signed the paternity acknowledgment
- The named father who signed the paternity acknowledgment
What to send with it
- Affidavit signed before a notarizing official
- The office must receive it within the 60-day rescission period to record the rescission.
Where to send it
- Mail to
- Bureau of Vital Statistics Attn.: Child Support Enforcement Unit P.O. Box 210 Jacksonville, Florida 32231-0042
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- 5/98
- Source
- Official government page