Illinois Denial of Parentage (HFS 3416D)
Illinois Department of Healthcare and Family ServicesParentage and paternityForm HFS 3416DFree downloadLast verified November 10, 2026
Signed by the birth parent and their spouse or former spouse to establish that the spouse is not the child's legal parent. It is valid only with a filed Voluntary Acknowledgment of Parentage and goes to the Illinois Department of Healthcare and Family Services.
Who can use this form
- The birth parent.
- The spouse or former spouse who was married to, or in a civil union with, the birth parent at the birth or within 300 days before it.
What to send with it
- The form, signed by each person in front of a witness age 18 or older who is not named on the form.
- It is filed with the Department of Healthcare and Family Services together with a valid Voluntary Acknowledgment of Parentage.
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