Kansas Paternity Consent Form for Court Birth Registration (VS211)
Official state formParentage and paternityForm VS211Free downloadLast verified November 12, 2026
Sworn affidavits from the mother and father, with a court order form, to add a father's name to a Kansas birth certificate. The court sends the completed form and order to the State Registrar.
Who can use this form
- Parents of a child whose birth certificate names no father.
- The mother must not have been married at conception, at birth or at any time in between.
- Otherwise an action under the Kansas Parentage Act is required.
- Each parent signs a sworn affidavit before a judge or authorized hearing officer.
What to send with it
- The completed form, with the disclosure page initialed by both parents.
- The father's affidavit and the mother's affidavit, each sworn before a judge or authorized hearing officer.
- The court order (Order to Prepare New Birth Registration) on page 3 of the form.
- The form says it should be submitted by the court to the State Registrar along with the order.
Where to send it
- Mail to
- Kansas Office of Vital Statistics 1000 SW Jackson Street, Suite 120 Topeka, KS 66612-2221
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- revised 07/2026
- Source
- Official government page