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Use this form to acknowledge you're the parent of a child if no other proof exists.

Gather your information

For both parents, you'll need: 

  • IRD numbers
  • current addresses
  • contact details.

You'll need your child's:

  • place of birth
  • date of birth.

For a witness, you'll need their:

  • current address
  • contact details.

Both parents and the witness must sign the form.

If this is for more than one child, fill out separate forms.

Download the form and save it

You can complete this form online before printing.

Sign the form and send it to us

Child support
PO Box 39010
Wellington Mail Centre
Lower Hutt 5045


What happens next

By signing this form you are declaring you are the legal parent of the child named. You may now have to pay child support.

My responsibilities

You may want to seek legal advice before completing this declaration.