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INFORMATION PROVIDED ON THIS FORM IS TO BE USED TO Establish A NEW CERTIFICATE OF BIRTH FOR THE ADOPTED CHILD. State Use Only Ohio Department of Health VITAL STATISTICS CERTIFICATE OF ADOPTION Original
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How to fill out child's personal data:

01
Start by providing the child's full name, including any middle names or suffixes.
02
Include the child's date of birth, ensuring accuracy for legal and identification purposes.
03
Specify the child's gender, whether they are male, female, or prefer not to disclose.
04
Include the child's residential address, including street, city, state, and zip code.
05
Provide the child's contact information, such as a phone number and email address if applicable.
06
Indicate the child's nationality, citizenship, or any dual citizenship if relevant.
07
Include information about the child's parents or legal guardians, including their full names, contact information, and any relevant details about custody or guardianship arrangements.
08
Specify any medical conditions, allergies, or special needs that the child may have.
09
If applicable, provide information about the child's educational background, including the current or previous schools attended.
10
Lastly, ensure to sign and date the form to confirm the accuracy of the provided information.

Who needs child's personal data:

01
Educational institutions often require a child's personal data for enrollment, admission, or registration processes.
02
Healthcare providers may need a child's personal data for medical records, treatment purposes, or insurance claims.
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Government agencies, such as social welfare or child support services, may require a child's personal data for legal or administrative purposes.
04
Sports or extracurricular organizations may need a child's personal data to ensure safety, communication, or eligibility for participation.
05
Family members or legal representatives may need a child's personal data for various purposes, such as maintaining family records, arranging travel, or applying for documents like passports or visas.
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Child's personal data includes information such as name, age, address, family members, medical history, and any other details that identify the child.
Parents, guardians, or legal representatives of the child are required to file the child's personal data.
Child's personal data can be filled out by providing accurate and up-to-date information about the child in the designated forms or online portal.
The purpose of collecting the child's personal data is to ensure their safety, well-being, and access to necessary services and resources.
Information such as name, date of birth, address, emergency contact details, medical conditions, and any other relevant information about the child must be reported in the child's personal data.
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