Vermont Rescission or Removal of Voluntary Acknowledgment or Denial of Parentage
Official state formParentage and paternityFree downloadLast verified November 10, 2026
Use this form to withdraw a Voluntary Acknowledgment of Parentage or a Denial of Parentage within 60 days of its effective date and before a court proceeding. It goes to the Vital Records Office in Waterbury.
Who can use this form
- The party rescinding the acknowledgment or denial.
- The person signs in front of a witness.
What to send with it
- The completed form, with the witness signature.
- Submit it before day 60 (15C V.S.A. section 307).
Where to send it
- Mail to
- Vital Records Office Vermont Department of Health 280 State Drive Waterbury, VT 05671-8370
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- April 2026
- Source
- Official government page