Oklahoma Rescission of Acknowledgment of Paternity (03PA211E)
Oklahoma Human Services, Child Support ServicesParentage and paternityForm 03PA211EFree downloadLast verified November 10, 2026
A parent uses this form to withdraw a signed Acknowledgment of Paternity. Once it is filed with the Oklahoma State Department of Health, Division of Vital Records, the man named as the father is removed from the birth certificate.
Who can use this form
- Either person, mother or father, who signed the Acknowledgment of Paternity (Form 03PA209E)
- The form must be filed within 60 days from the date of the last signature on Form 03PA209E
- The rescinding parent must sign in front of a witness who is not related to them
What to send with it
- The completed form, signed by the rescinding parent under penalty of perjury and witnessed
- The approximate date the Acknowledgment of Paternity was completed, written on the form
- Mail the white and yellow copies (the original and one copy) and keep a copy
Where to send it
- Mail to
- Oklahoma State Department of Health Division of Vital Records P. O. Box 248964 Oklahoma City, OK 73124-8964
- State fee
- Not provided
- Typical processing
- Not provided
- Issued by
- Oklahoma Human Services, Child Support Services
- Form revision
- 3/23/2026
- Source
- Official government page