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Vermont · Birth

Vermont Denial of Parentage

Official state formParentage and paternityFree downloadLast verified November 10, 2026

A presumed parent or alleged genetic parent signs this form to release a parental claim. It is valid only when filed with a Voluntary Acknowledgment of Parentage. It goes to the Vital Records office in Waterbury.

Who can use this form

  • A presumed parent or an alleged genetic parent.
  • The person signs in front of a witness.

What to send with it

  • The completed form, with initials and the witness signature.
  • File it together with a Voluntary Acknowledgment of Parentage.

Where to send it

Mail to
Vermont Department of Health Vital Records 280 State Drive Waterbury, VT 05671-8370
State fee
Not provided
Typical processing
Not provided
Form revision
March 2026
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Vermont Denial of Parentage | Vermont Form