Acknowledgement of Paternity form and 9 more items
Active State & local contract award Nebraska Awarded
- Contract number
- 115532
- Awardee
- FAITH REGIONAL HEALTH SERVICES
- Contracting organization
- Dept of Health & Human Svcs
- Contract amount
- $42,000
Award facts
- Completion date
Award details come from statecontracts.nebraska.gov. Updated .
About this award
The State of Nebraska Department of Health and Human Services has awarded a service contract to Faith Regional Health Services, located in Norfolk, Nebraska, for the provision of paternity acknowledgment assistance services. Under this contract, Faith Regional Health Services will facilitate the completion and notarization of Acknowledgment of Paternity forms for unmarried parents at birth facilities. The contractor's responsibilities include meeting with unmarried mothers, contacting fathers, distributing Department-provided educational materials, and employing a Notary Public to notarize both parents' signatures on the completed forms. Completed forms must be submitted to the appropriate Vital Records Management Office within five business days of birth.
The contract, awarded on August 1, 2026, has an initial term extending through April 30, 2029, with one optional four-year renewal period. The contract amount is $42,000.00 total, with reimbursement structured at $20.00 per properly completed Acknowledgment of Paternity form. Funding derives from both federal and state sources under Federal Award Identification Number 2501NESCSS. Payment is deliverable-based with quarterly invoicing. Either party may terminate the contract with 30 days' written notice, and the Department of Health and Human Services retains the right to terminate immediately for cause.
Line items
| Item | Total |
|---|---|
| Acknowledgement of Paternity form | $20.00 |
| Invoice | — |
| Acknowledgement of Paternity form | $20.00 |
| Invoice | — |
| Invoice | — |
| Acknowledgement of Paternity form | $20.00 |
| Invoice | — |
| Acknowledgement of Paternity form | $20.00 |
| Invoice | — |
| Acknowledgement of Paternity form | $20.00 |
Files
| File | Type | Posted |
|---|---|---|
| 115532-O4.pdf |
Quick answers
Who was awarded contract 115532?
Contract 115532 was awarded to FAITH REGIONAL HEALTH SERVICES by Dept of Health & Human Svcs in Nebraska on August 1, 2026.
How much is contract 115532 worth?
Its contract amount is $42,000.
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