1993 LAWS OF MARYLAND

(1) THE FULL NAME AND THE PLACE AND DATE OF BIRTH OF THE
CHILD;

(2) THE FULL NAME OF THE ATTESTING NATURAL FATHER OF THE
CHILD;

(3) THE FULL NAME OF THE ATTESTING NATURAL MOTHER OF THE
CHILD;

(4) THE SIGNATURES OF THE NATURAL FATHER AND THE NATURAL
MOTHER OF THE CHILD ATTESTING. UNDER PENALTY OF PERJURY. THAT THE
INFORMATION PROVIDED ON THE AFFIDAVIT IS TRUE AND CORRECT;

(5) A STATEMENT BY THE MOTHER CONSENTING TO THE ASSERTION OF
PATERNITY AND THAT HER COSIGNATORY IS THE ONLY POSSIBLE FATHER;

(6) A STATEMENT BY THE FATHER THAT HE IS THE NATURAL FATHER
OF THE CHILD;

(7) A STATEMENT THAT THE AFFIDAVIT IS A LEGAL DOCUMENT AND
AN EXPLANATION OF THE IMPLICATIONS OF SIGNING THE AFFIDAVIT, INCLUDING
PARENTAL RIGHTS AND RESPONSIBILITIES; AND

(8) THE SOCIAL SECURITY NUMBERS OF BOTH PARENTS.

(D) THE ADMINISTRATION SHALL PREPARE WRITTEN INFORMATION TO BE
FURNISHED TO UNMARRIED MOTHERS UNDER § 4 208 OF THE HEALTH GENERAL
ARTICLE CONCERNING THE BENEFITS OF HAVING THE PATERNITY OF THEIR
CHILDREN ESTABLISHED, INCLUDING THE AVAILABILITY OF CHILD SUPPORT
ENFORCEMENT SERVICES.

(E) THE DEPARTMENT SHALL MAKE THE STANDARDIZED AFFIDAVIT FORMS
AVAILABLE TO ALL HOSPITALS IN THE STATE.

5-1028.1.

(A) AN UNMARRIED FATHER AND MOTHER SHALL BE PROVIDED AN
OPPORTUNITY TO EXECUTE AN AFFIDAVIT OF PARENTAGE IN THE MANNER PROVIDED
UNDER § 4-208 OF THE HEALTH - GENERAL ARTICLE.

(B) THE AFFIDAVIT SHALL BE COMPLETED ON A STANDARDIZED FORM
DEVELOPED BY THE DEPARTMENT.

(C) THE COMPLETED AFFIDAVIT OF PARENTAGE FORM SHALL CONTAIN:

(1) IN TEN POINT BOLD FACE TYPE A STATEMENT THAT THE AFFIDAVIT IS A
LEGAL DOCUMENT AND CONSTITUTES A REBUTTABLE PRESUMPTION OF PARENTAGE IN
A PATERNITY PROCEEDING;

(2) THE FULL NAME AND THE PLACE AND DATE OF BIRTH OF THE CHILD;
(3) THE FULL NAME OF THE ATTESTING FATHER OF THE CHILD;
(4) THE FULL NAME OF THE ATTESTING MOTHER OF THE CHILD;

- 1444 -

Ch. 197