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Attachment to the Facility Worksheet for the Live Birth Certificate for Multiple Births This attachment is to be completed when at least two infants in a multiple pregnancy are born alive. Complete

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What is this attachment is to?

This attachment is to provide additional information regarding the main form.

Who is required to file this attachment is to?

All individuals or entities specified in the instructions for the main form.

How to fill out this attachment is to?

Fill out the required fields with accurate information as instructed in the guidelines.

What is the purpose of this attachment is to?

The purpose of this attachment is to provide supplementary details that are not covered in the main form.

What information must be reported on this attachment is to?

All relevant information asked for in the attachment instructions.

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