Affidavit in Support of Motion for City and Town Clerk to Release a Copy of the Childs Birth Certificate

If the name of a minor child’s father is not listed on the child’s birth certificate for any reason, he can execute the following affidavit to request releasing the birth certificate to him.

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Commonwealth of Massachusetts
The Trial Court
Probate and Family Court DepartmentDivision Docket No.
Plaintiff/Petitioner
Defendant/Respondent V. AFFIDAVIT IN SUPPORT OF
MOTION FOR CITY/TOWN
CLERK TO RELEASE A
COPY OF THE CHILD'S
BIRTH CERTIFICATE
In support of my motion for the city/town clerk to release a copy of a child's birth certificate, 
Date
(Signature of attorney or plaintiff, if pro se)
Affidavit in Support Release Birth Certificate
C.G.F.Signed under the pains and penalties of perjury. states:
I am unable to obtain the childs birth certificate for the following reason(s). 

I am the father of the minor child, 

in the above entitled case.  My name is not listed on the birth certificate and the City /Town Clerk will not release it to me. (Name of Minor Child)