Fillable louisiana electronic event registration form

Description
Print Form Louisiana Electronic Event Registration System ADMINISTRATIVE USER ID REQUEST FORM For Vital Records Use Only BIRTH MODULE Date Received / / Date Created / / User ID All Fields are required to complete Registration SECTION 1 - USER INFORMATION Middle First Name Last Name Job Title Phone User Is Extension Email Check certifier if this user is authorized to certify records CERTIFIER HIM DIRECTOR CLERK OF...
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louisiana electronic event registration
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