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Georgia Rescission Statement for a Paternity Acknowledgment (Form 3956)

Official state formParentage and paternityForm Form 3956Free downloadLast verified November 10, 2026

Statement to rescind (cancel) a voluntary acknowledgment of paternity within 60 days of signing it. It is filed with the State Office of Vital Records. It does not amend the birth certificate; removing the father's name takes a court order.

Who can use this form

  • Either person who signed the voluntary acknowledgment of paternity
  • Must be completed within sixty (60) days of the original signing

What to send with it

  • Completed statement signed by the parent who is rescinding, with ID type and number
  • Signature of a witness
  • To remove the father's name from the birth certificate: a certified copy of a court order that determines paternity and directs the amendment

Where to send it

Mail to
State Office of Vital Records 1680 Phoenix Blvd., Suite 100 Atlanta, GA 30349
State fee
Not provided
Typical processing
Not provided
Form revision
REVISED 04/2026
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Georgia Rescission Statement for a Paternity Acknowledgment (Form 3956) | Georgia Form