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DEPARTMENT OF HEALTH SERVICES Division of Public Health F05112 (Rev. 08/2021)STATE OF WISCONSIN Wis. Stat. Ch. 69-Page 1 of 2Clear / Reset Reverification OF BIRTH UNATTENDED BY HEALTH CARE PROFESSIONAL
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How to fill out verification of birth unattended

How to fill out verification of birth unattended
01
Obtain an unattended birth certificate application form from the relevant government agency.
02
Fill out the form with the required information such as the baby's name, date of birth, place of birth, parents' names, and any other relevant details.
03
Provide any supporting documents that may be required, such as a photo ID or proof of residency.
04
Submit the completed form and documents to the appropriate office either in person or by mail.
05
Pay any necessary fees for processing the verification of birth unattended.
Who needs verification of birth unattended?
01
Parents of babies born unattended who need official documentation of the birth.
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What is verification of birth unattended?
Verification of birth unattended is a legal document that confirms the birth of a child that occurred outside of a medical facility or attended by a healthcare professional.
Who is required to file verification of birth unattended?
The parents or guardians of the child are required to file verification of birth unattended.
How to fill out verification of birth unattended?
Verification of birth unattended can be filled out by providing information about the child, parents, place of birth, and any witnesses present.
What is the purpose of verification of birth unattended?
The purpose of verification of birth unattended is to officially document the birth of a child that occurred outside of a medical facility.
What information must be reported on verification of birth unattended?
Information such as the child's full name, date and place of birth, parents' names, and any witnesses present must be reported on verification of birth unattended.
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