COMPLAINT FOR PATERNITY 
AND CHILD SUPPORT 

Court Case Number 

      

IN THE  ___________      COURT OF _____________      COUNTY, ALABAMA  

v. 

      
   

(Defendant) 

 

Comes now the 

 State of Alabama, ex rel. Plaintiff or 

 Plaintiff and shows unto the Court as follows: 

  who is now delivered of the child(ren) hereinafter named; OR 
  who is now pregnant and expects to give birth to a child (or children) on or about the      day of _     ,    

  who is guardian/legal custodian of the child(ren) born to ____________      (name of mother); OR  
  who is the child and who is represented by and through a next friend       

has named the Defendant as father of the child(ren) named below: 

 

Date of Birth 
      
      
      
      
      
      
      
      
      
      

 
 
 
 
 
 
 
 
 
 

 

 
 
 
 
 
 
 
 
 
 

2. 

  The Plaintiff is now receiving or has received Family Assistance toward the support of the above-named 
child(ren) from the State of Alabama, Department of Human Resources and has assigned, by operation 
of law, support rights in regard to the child(ren) to the State of Alabama, Department of Human 
Resources, the payments being an obligation due to the State of Alabama; OR 

  The Plaintiff is now receiving services from the State of Alabama for the enforcement of support 
pursuant to Title IV-D of the Social Security Act, as amended; OR 

  The Plaintiff is not receiving services from the State of Alabama for the enforcement of support pursuant 
to Title IV-D of the Social Security Act, as amended. 
  The Plaintiff is now receiving or has received medical benefits from the State of Alabama, the medical 
benefits being an obligation due to the State of Alabama. 

3.  The Defendant is the person charged with the legal duty of supporting the child(ren) and has not supported 

the child(ren).  The Defendant is able to pay for the support and maintenance of the child(ren). 

4.  No support payments have been previously ordered pursuant to a decree of divorce. 

 

COURT RECORD 
 
 

ATTORNEY 
 
 

DEFENDANT 
 
 

      
      
      

State of Alabama 
Unified Judicial System 
CS-12  Rev. 7/2019 
Page 1 of 2 

STATE OF ALABAMA,  ex rel. 
 
 

(Plaintiff) 

      

1.  The Plaintiff  

; OR 

 

Name of Child 
      
      
      
      
      
      
      
      
      
      

 
 
 
 
 
 
 
 
 
 
 

   

State of Alabama 
Unified Judicial System 
CS-12  Rev. 7/2019 
Page 2 of 2 

COMPLAINT FOR PATERNITY 
AND CHILD SUPPORT 

Court Case Number 

      

WHEREFORE,  the premises considered, the Plaintiff moves this Honorable Court as follows: 

1.  To enter an order setting a hearing on the Plaintiff’s complaint to establish the paternity of and the 

amount of support due on behalf of the child(ren) named above. 

2.  To  enter  an  order  adjudicating the  paternity  of the  child(ren)  named  above  and  directing the  Defendant      
to pay an amount as determined by the Child Support Guidelines toward the support and maintenance of 
the child(ren) and enter a withholding order. 

3.  To  require  the  child  support  payments  to  be  made  to  Alabama  Child  Support  Payment  Center  at           

P.O. Box 244015,  Montgomery, AL  36124-4015. 

4. 

  Plaintiff  or 

  Defendant,  wherever  employed,  to  include  the  child(ren)  named 
  To  require  the 
above on any health care coverage policy at his or her place of employment or include the child(ren) 
named above on any health care coverage policy which he or she may purchase, if the health care 
coverage  is  accessible  to  the  child(ren),  is  available  and  can  be  obtained  for  the  child(ren)  at  a 
reasonable cost, and to provide evidence of such coverage to the other party in non-Title IV-D cases 
OR to the _________      County Department of Human Resources in Title IV-D cases; OR  

 To require the Defendant to pay a sum for the medical support of the child(ren) named above, if health 
care coverage is not accessible, not available, or is not available at a reasonable cost. 

5.  To require the Defendant to pay retroactive support for two (2) years preceding the filing of this action to 

include the costs of birth expenses. 

6.  To require the Defendant to pay the costs of genetic testing, if applicable. 

7.  Other:        

 

 
      
  Date 
  Name and Address of Attorney: 
 
 
 
 

      
      
      
      

Telephone  No.:   

 

 
Plaintiff/Attorney 
 

 

 
 
 
 

 
 
 
 

COURT RECORD 
 
 

 

ATTORNEY  
 

DEFENDANT 
 
 

.