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Attorney 12a. Name 9c. Town 9d. City or Village 9e. Within the corporate limits 10. Mailing Address for Notice of Birth Registration Include Zip Code DOH-1928 12/2003 8c. State of Birth Country if not USA 9b.
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The DOH 1928 form is a document used by the Department of Health to collect and record data on certain health-related events.
Healthcare facilities and healthcare providers are generally required to file the DOH 1928 form when they encounter specified health-related events.
The DOH 1928 form can typically be filled out by providing the requested information in the designated sections of the form. It is important to accurately and completely fill out the form based on the instructions provided.
The purpose of the DOH 1928 form is to collect data on specific health-related events in order to monitor and track the occurrence of these events, analyze trends, and inform public health interventions and policies.
The specific information that must be reported on the DOH 1928 form may vary depending on the type of event being reported. Generally, it may include details such as the date, location, nature of the event, and relevant demographic information.
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