New Hampshire Revised Statutes 5-C:77 – Procedures for Completion of the Fetal Death Paternity Affidavit
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Terms Used In New Hampshire Revised Statutes 5-C:77
- Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
- state: when applied to different parts of the United States, may extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall include said district and territories. See New Hampshire Revised Statutes 21:4
- sworn: when applied to public officers required by the constitution to take oaths therein prescribed, shall refer to those oaths; when applied to other officers it shall mean sworn to the faithful discharge of the duties of their offices before a justice of the peace, or other person authorized to administer official oaths in such cases. See New Hampshire Revised Statutes 21:25
The name and information concerning the father shall be included in the report of fetal death for a child delivered out of wedlock in the state of New Hampshire upon receipt of a sworn affidavit of paternity signed by both parents as described in N.H. Rev. Stat. § 5-C:76. The hospital or institution’s designated staff shall prepare the fetal death paternity affidavit and attach it to the report of fetal death that is forwarded to the division. Upon receipt of the fetal death paternity affidavit, the information concerning the father shall be added by the division to the report of fetal death. The fetal death paternity affidavit form shall be retained by the division with the report of fetal death in accordance with the record retention schedule listed in N.H. Rev. Stat. § 5-C:96.