Get the free 12VAC5-550-125. Certificate of birth resulting in a stillbirth.
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COMMONWEALTH OF VIRGINIA APPLICATION FOR CERTIFICATION OF BIRTH RESULTING IN STILLBIRTH OR USE Blythe State Registrar, at no cost, shall issue a Certificate of Birth Resulting in Stillbirth (32.1258.1.)
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How to fill out 12vac5-550-125 certificate of birth
How to fill out 12vac5-550-125 certificate of birth
01
Begin by filling out the top section with the child's name, date of birth, place of birth, and sex.
02
Provide the mother's name, maiden name, date of birth, place of birth, and Social Security Number.
03
Include the father's name, date of birth, place of birth, and Social Security Number.
04
Fill out the section for any other relevant information, such as attending physician's name and address.
05
Sign and date the certificate to certify the information is accurate.
Who needs 12vac5-550-125 certificate of birth?
01
Parents of a newborn child
02
Healthcare facilities or practitioners
03
Government agencies for record-keeping purposes
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What is 12vac5-550-125 certificate of birth?
The 12vac5-550-125 certificate of birth is a legal document used to record the birth of a child and establish citizenship.
Who is required to file 12vac5-550-125 certificate of birth?
Parents or legal guardians are required to file the 12vac5-550-125 certificate of birth for their newborn child.
How to fill out 12vac5-550-125 certificate of birth?
The 12vac5-550-125 certificate of birth can be filled out by providing information about the child, parents, and the birth details in the designated sections of the form.
What is the purpose of 12vac5-550-125 certificate of birth?
The purpose of the 12vac5-550-125 certificate of birth is to officially document the birth of a child for legal and administrative purposes.
What information must be reported on 12vac5-550-125 certificate of birth?
The 12vac5-550-125 certificate of birth requires information such as the child's name, date and place of birth, parents' names, and other relevant details.
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