641—105.3 (144) Information to be provided. A person who files a declaration of paternity with the state registrar shall complete the correct form and provide all of the following:
	  1. 	 Registrant’s name, current address, social security number, notarized signature and date.
	  2. 	 The name, last known address, and social security number, if known, of the mother of the child.
	  3. 	 The name of the child, if known, and the date and location of the birth of the child, if known.
A copy of the declaration of paternity shall be forwarded by the state registrar to the mother as notification that the person has registered if the mother’s name and address are known.