v. 

           
 

(Defendant) 

 

COMPLAINT FOR PATERNITY 
AND CHILD SUPPORT 
(ALLEGED FATHER) 

Court Case Number 
           

IN THE  ___________________ COURT OF ______________________ COUNTY, ALABAMA 

State of Alabama 
CS-12A, Rev. 06/2009 

(Plaintiff) 

           

   

 

Comes now the Plaintiff and shows unto the court as follows: 

1.  Plaintiff has just cause to believe he is the father of the child(ren), ___________________, born to 

____________________ (name of mother). 

2. 

 The Plaintiff is now receiving services from the State of Alabama for establishment of paternity pursuant to 
Title IV-D of the Social Security Act. 

 The Plaintiff is not receiving services from the State of Alabama for establishment of paternity pursuant 
 to Title IV-D of the Social Security Act. 

3.  No order presently exists which establishes the paternity of the child(ren). 

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 Plaintiff to pay an 
amount  as  determined  by  the  Child  Support  Guidelines  toward  the  support  and  maintenance  of  the  minor 
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  insurance  policy  or  health  insurance  coverage  at  his  or  her  place  of  employment  or 
include the child(ren) named above on  any health insurance policy or health insurance coverage which he or 
she  may  purchase,  if  the  health  insurance  coverage  is  accessible  to  the  child(ren)  and  it  is  available  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 
insurance is not accessible, not available, or is not available at a reasonable cost. 

5.  To require the Plaintiff 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 Plaintiff 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 
 
 

.