Affidavit Regarding Military Service



AFFIDAVIT REGARDING MILITARY SERVICE

1.

My name is

     

     [CASEWORKER NAME] and I am an employee of the Texas Department of Family & Protective Services (“DFPS”). In this capacity, I have tried without success to locate [NAME OF FATHER/MOTHER], the parent of a child who is the subject of a Suit Affecting the Parent Child Relationship filed by DFPS (hereinafter “the parent”).

2.

The biographical data available to locate this parent includes:

Full Name: [Insert information or indicate NOT AVAILABLE]

Other Names Used:[Insert information or indicate NOT AVAILABLE]

Maiden Name: [Insert information or indicate NOT AVAILABLE]

Date of Birth: [Insert information or indicate NOT AVAILABLE]

Social Security Number: [Insert information or indicate NOT AVAILABLE]

3.

A U.S. Military Certificate of Service or Certificate of Non-Service regarding this parent is attached and incorporated by reference.

OR

I have not requested a Certificate of Service or Non-service from the U.S. Military because there is insufficient information known about this parent to perform a search.

[ONLY COMPLETE SECTION 4 IF THERE IS INSUFFICIENT INFORMATION TO OBTAIN A CERTIFICATE OF SERVICE OR NON-SERVICE]

4.

I have interviewed the available family members and other persons reported to be familiar with the parent in question in an effort to obtain additional information and to determine whether or not this parent is or has been in the military. All biographic data supplied by these sources is listed in No. 2 above.

NO INFORMATION ABOUT MILITARY

The following family members or other persons with information about the parent contacted deny any knowledge of parent’s military service, past or present.

[INSERT NAMES AND INDICATE RELATIONSHIP TO PARENT. For example, Susan Peters, ex-wife of parent; George Smith, father of parent]

INFORMATION ABOUT MILITARY

Information regarding parent’s military service reported by family members includes:

[INSERT available info regarding branch of service, years of service, where stationed or other information related to military service. For example, Simon Green, brother of parent reports he was in the Marines, 2003-2004 & served in Afghanistan.]

Based on the above information, I have concluded

[SELECT ONE]

The above named parent IS a member of the military (Certificate of Service is attached).

The above named parent IS NOT a member of the military (Certificate of Non-service is attached).

There is insufficient information on which to conclude whether this parent is in the military service.

I declare under penalty of perjury that the foregoing information is true and correct.

Dated:      

__________________________________

Signature

Name:      

Title:      

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