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Mothers medical record # Mothers name State of West Virginia Mothers Worksheet for Child's Birth Certificate (to be completed by Mother, another informant, or by interview of same by hospital staff)

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9. If you have any questions or need assistance, reach out to the appropriate authority or organization responsible for processing the form.

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1. The form needs to be completed by individuals who are required or requested to provide specific information or documents. This could include applicants for a job position, students applying for admission, individuals seeking financial assistance, individuals applying for a license or permit, individuals filing taxes, etc.

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To be completed by refers to the documentation or form that is required to be filled out and submitted by a specific deadline.

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The information that must be reported typically includes personal or business details, financial data, and any other relevant information as required by the form.