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Pennsylvania Acknowledgment of Paternity for a Child Born to an Unmarried Mother (PA/CS 611)

Pennsylvania Department of Human ServicesParentage and paternityForm PA/CS 611Free downloadLast verified November 10, 2026

A voluntary form that establishes legal paternity for a child born to an unmarried mother. It is filed with the Pennsylvania Department of Human Services, not the vital records office. After that department processes it, the father can be added to the birth record.

Who can use this form

  • The birth mother, unmarried at the time of the birth, and the birth father
  • A man filing a Claim of Paternity when the mother fails or refuses to sign

What to send with it

  • Form completed in blue or black ink
  • Social Security numbers, or the No Social Security Number Declaration
  • Signature, date and address of each parent
  • Signature of a witness to each parent's signature

Where to send it

Mail to
Commonwealth of Pennsylvania Department of Human Services Bureau of Child Support Enforcement AOP Program P.O. Box 8018 Harrisburg, PA 17105-8018
State fee
Not provided
Typical processing
Not provided
Issued by
Pennsylvania Department of Human Services
Form revision
8/15
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Pennsylvania Acknowledgment of Paternity for a Child Born to an Unmarried Mother (PA/CS 611) | Pennsylvania Form