https://moodybrownlaw.com/ Utah Family Law – Utah Divorce – Provo Mediation Attorney

801.356.8300

Online Paternity Form

Complete the online form and press "Verify and Submit" at the bottom (the intake form will be automatically submitted to Moody Brown Law). ALL REQUIRED FIELDS ARE MAKED WITH AN "*".

Personal Information

Full Name (include middle) *

Email Address

Street Address

City

State

Zip

Phone (best)

Phone (work)

Phone (other)

Birth Date

Social Security Number

Birth City

State

Zip

Highest Level of Education

Employer

Employer Address

Employer City

State

Zip

Income (gross)

Income (net)

Income (other)

Other Notes

(max 200 characters)

Opposing Party Information

Full Name (include middle)

Street Address

City

State

Zip

Phone (best)

Phone (work)

Phone (other)

Email Address

Birth Date

Social Security Number

Birth City

State

Zip

Highest Level of Education

Employer

Employer Address

Employer City

State

Zip

Income (gross)

Income (net)

Income (other)

Other Notes

(max 200 characters)

Referred to Attorney By

Referred by

List all natural / adopted children of you and the opposing party

Full Name of Child

Age

Birthday

Social Security Number

Full Name of Child

Age

Birthday

Social Security Number

Full Name of Child

Age

Birthday

Social Security Number

Full Name of Child

Age

Birthday

Social Security Number

Full Name of Child

Age

Birthday

Social Security Number

Is a child expected?

No

Yes

If yes, what is the due date?

Verify and Submit

*

I understand that I will be charged for my initial consultation and that payment will be due at the end of the appointment at the attorney’s hourly rate.