Fill in a register a parentage or discharge order application form

1. Can you register an order for your child?

   1. Are the new parent(s) able to sign the application form? *

      • Yes
      • No
   2. Do you have a parentage order from the Childrens Court or a discharge order? * (If you chose 'Yes' above)

      • Yes
      • No
   3. Do you have all the proof you need for identification? * View the proof you will need to provide (If you chose 'Yes' above)

      • Yes
      • No
   4. By using this online service and providing an email address and mobile number, I consent to the use of that email address and mobile number for the Registry of Births, Deaths and Marriages (RBDM) to contact me using SMS and email that relates to this application. I understand that it is my responsibility to ensure that I have nominated a secure email address for RBDM to send the completed application and any related correspondence to. I acknowledge that it is my responsibility to ensure the security of that information when received.
2. Fill in your application form Fill in the application before downloading and printing it.

   You will need to provide the parentage or discharge order when you submit your application form to us.

   1. Parentage or discharge order details

      1. Your child's name on the order

         1. First name *
         2. Middle name(s)
         3. Family name * If the child doesn't have a family name and only uses the name above, enter n/a.
   2. Child's birth details

      1. Your child's name on the birth certificate

         1. First name *
         2. Middle name(s)
         3. Family name* If the child doesn't have a family name and only uses the name above, enter n/a.
      2. Place of birth

         1. Town or city *
         2. State or territory *
         3. Country Only include country if not Australia.
      3. Date of birth * dd/mm/yyyy
      4. Birth mother's name

         1. First name *
         2. Middle name(s)
         3. Family name * If the birth mother doesn't have a family name and only uses the name above, enter n/a.
      5. Birth father or parent's name This is the father or parent on the child's current birth certificate.

         1. First name *
         2. Middle name(s)
         3. Family name * If the person doesn't have a family name and only uses the name above, enter n/a.
   3. New parents details

      1. Relationship to child *

         • Mother
         • Parent
      2. Name

         1. First name *
         2. Middle name(s)
         3. Family name * If the person doesn't have a family name and only uses the name above, enter n/a.
      3. Maiden surname must be completed. If the mother's family name at birth is the same as her current family name, enter it again.
      4. Maiden surname * This is the mother’s family name when she was born. If the mother didn’t have a family name at birth, enter n/a.
      5. Place of birth

         1. Town or city *
         2. State or territory *
         3. Country Only include country if not Australia.
      6. Date of birth * dd/mm/yyyy
      7. Age * In years
      8. Is the new mother/parent of Aboriginal or Torres Strait Islander origin? *

         • Yes, Aboriginal origin
         • Yes, Torres Strait Islander origin
         • Both, Aboriginal and Torres Strait Islander origin
         • No
      9. Home address

         1. Address line 1 *
         2. Address line 2
         3. Address line 3
         4. 1. Town, city or suburb *
            2. State or territory *
            3. Postcode *
         5. Country Only include country if not Australia.
      10. New mother or parent's usual occupation * Lawyer, teacher, home duties
      11. Are you also registering a new father or parent? *

          • Yes
          • No
      12. (If you chose ‘Yes’ above)

          1. Relationship to child *

             • Father
             • Parent
          2. Name

             1. First name *
             2. Middle name(s)
             3. Family name * If the person doesn't have a family name and only uses the name above, enter n/a.
          3. Place of birth

             1. Town or city *
             2. State or territory *
             3. Country Only include country if not Australia.
          4. Date of birth * dd/mm/yyyy
          5. Age * In years
          6. Is the new father/parent of Aboriginal or Torres Strait Islander origin? *

             • Yes, Aboriginal origin
             • Yes, Torres Strait Islander origin
             • Both, Aboriginal and Torres Strait Islander origin
             • No
          7. Home address

             1. Address line 1 *
             2. Address line 2
             3. Address line 3
             4. 1. Town, city or suburb *
                2. State or territory *
                3. Postcode *
             5. Country Only include country if not Australia.
          8. New father or parent's usual occupation * Lawyer, teacher, home duties
          9. Are the new parents married or in a civil partnership? *

             • Yes
             • No
          10. Parent's relationship details (If you chose ‘Yes’ above)

              
              

              1. Type of relationship *

                 • Marriage
                 • Civil partnership
              2. Date of marriage or civil partnership * dd/mm/yyyy
              3. Place of marriage or civil partnership

                 1. Town or city *
                 2. State or territory *
                 3. Country Only include country if not Australia.
          11. Are there any other children with the same parents that are named above? *

              
              

              • Yes
              • No
          12. Previous children of this relationship (If you chose ‘Yes’ above)

              1. • 
                   
                   Do not include a child born of the same pregnancy as the child named on the order.
                 • Include legally adopted children.
                 • Include children registered through court surrogacy parentage order.
                 • If there are no other children, select 'No' to the question below.
              2. Enter in order of birth with the eldest child first.
                 If deceased - enter 'D' in the date of birth column.
                 If not born alive - enter 'SB' in the date of birth column.

                 1. Oldest child's name(s) Do not include the child’s surname.

                    1. First name *
                    2. Middle name(s)
                 2. Date of birth* dd/mm/yyyy
                 3. Our next younger child's name(s) Do not include the child’s surname.

                    1. First name
                    2. Middle name(s)
                 4. Date of birth dd/mm/yyyy
                 5. 1. First name
                    2. Middle name(s)
                 6. Date of birth dd/mm/yyyy
                 7. 1. First name
                    2. Middle name(s)
                 8. Date of birth dd/mm/yyyy
                 9. 1. First name
                    2. Middle name(s)
                 10. Date of birth dd/mm/yyyy
                 11. 1. First name
                     2. Middle name(s)
                 12. Date of birth dd/mm/yyyy
                 13. 1. First name
                     2. Middle name(s)
                 14. Date of birth dd/mm/yyyy
                 15. 1. First name
                     2. Middle name(s)
                 16. Date of birth dd/mm/yyyy
   4. Applicant's details

      1. Are you a legal representative or new parents of the child? *

         • Legal representative
         • New parents
      2. Applicant's address (If you chose ‘Legal representative’ above)

         1. Name

            1. First name *
            2. Family name *
         2. You will need to sign the printed application form in the signature of applicant area in the applicant's details section—the new parent(s) must sign the declarations section.
         3. Business address

            1. Address line 1 *
            2. Address line 2
            3. Address line 3
            4. 1. Town, city or suburb *
               2. State or territory *
               3. Postcode *
            5. Country Only include country if not Australia.
         4. Is your postal address different? *

            • Yes
            • No
         5. Postal address (If you chose ‘Yes’ above)

            1. Address

               1. Address line 1 *
               2. Address line 2
               3. Address line 3
               4. 1. Town, city or suburb *
                  2. State or territory *
                  3. Postcode *
               5. Country Only include country if not Australia.
         6. Telephone number *
         7. Mobile number
         8. Email *
      3. Applicant A's details (If you chose ‘New parents’ above)

         1. Applicant A’s relationship to child *

            • Mother
            • Father
            • Parent
         2. Name

            1. First name *
            2. Middle name(s)
            3. Family name *
         3. You will need to have your signature witnessed in the declarations section. It is not necessary to also sign the completed application form in the applicant's details section.
         4. Is your postal address different to the home address you gave above? *

            • Yes
            • No
         5. Applicant A's postal address (If you chose ‘Yes’ above)

            1. 1. Address line 1 *
               2. Address line 2
               3. Address line 3
               4. 1. Town, city or suburb *
                  2. State or territory *
                  3. Postcode *
               5. Country Only include country if not Australia.
         6. Daytime telephone number *
         7. Mobile number
         8. Email *
         9. Applicant B’s details *

            • Mother
            • Father
            • Parent
         10. Name

             1. First name *
             2. Middle name(s)
             3. Family name *
         11. You will need to have your signature witnessed in the declarations section. It is not necessary to also sign the completed application form in the applicant's details section.
         12. Is your postal address different to the home address you gave above? *

             • Yes
             • No
         13. Applicant B's postal address (If you chose ‘Yes’ above)

             1. 1. Address line 1 *
                2. Address line 2
                3. Address line 3
                4. 1. Town, city or suburb *
                   2. State or territory *
                   3. Postcode *
                5. Country Only include country if not Australia.
         14. Daytime telephone number *
         15. Mobile number
         16. Email *
   5. Before I complete my application *

      I will check the details I have provided.
      I am aware of the refund policy—the fee I pay is to submit my application and for RBDM to review it.

      Remember

      You will need to have another adult (18 or older) witness your signatures and submit the completed application form along with certified proof of ID and supporting documents to us either:

      • •   by post
      • •   in person at our customer service centre or one of our agents.

You are not eligible

We can only register a parentage or discharge order if the new parent(s) sign the declaration.

Don't use this form

We can only register a parentage or discharge order if you have the official copy of a parentage or discharge order.

You are not eligible

We can’t register a parentage or discharge order until you can prove your identity.

Privacy notice
The Department of Justice and Attorney-General is collecting your personal information for the purpose of processing your application under section 41D and section 41E of the Births, Deaths and Marriages Registration Act 2003. The information on this form may be provided to law enforcement agencies and to government and non-government agencies for verification of the data. Access to this information or a certificate may be granted to any person who has adequate reason to obtain it, or who meets the requirements of the access policy.