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APPENDIX D: SAMPLE FORMSAppendix D: Sample form Certificate of Live Birth CERTIFICATE OF LIVE BIRTH136Center for Health Statistics Type or print in permanent black ink. See handbook for instructions.
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Appendix D sample forms are templates provided by authorities to report specific information.
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Entities mandated by regulations must file appendix D sample forms.
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Appendix D sample forms must be completed accurately and submitted according to instructions provided.
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The purpose of appendix D sample forms is to gather and consolidate required information for regulatory purposes.
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