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MOTHERS NAME: Rev. 01/2017STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTHMOTHER\'S WORKSHEET FOR CHILD BIRTH CERTIFICATE (v2003) FOR HOME BIRTHS Adapted by CT DPH from the NSS Mother\'s Worksheet
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The authoring-uatctegovcom-mediamoformrs worksheet for child is a form used to report information about a child's media usage.
Parents or guardians of the child are required to file the authoring-uatctegovcom-mediamoformrs worksheet.
The worksheet can be filled out online by providing details about the child's media consumption habits.
The purpose of the worksheet is to monitor and track a child's exposure to media content.
Information such as the types of media consumed, duration of exposure, and any parental controls in place must be reported.
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