to be Completed by the Birth Parent
…
No ☐Yes If yes, please provide the following
…
Have you lived outside of Kansas
…
No ☐Yes, list where and dates
…
Who lives in your home currently
…
https://www.dcf.ks.gov/services/CSS/Documents/CSS Paternity Questionnaire.pdf
to be Completed by the Birth Parent
…
No ☐Yes If yes, please provide the following
…
Have you lived outside of Kansas
…
No ☐Yes, list where and dates
…
Who lives in your home currently
…
https://www.dcf.ks.gov/services/CSS/Documents/CSS Paternity Questionnaire 1.28.2020.pdf