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APPLICATION FOR CERTIFIED COPY OF BIRTH CERTIFICATE The Office of Vital Records has been registering births for persons born in Nebraska since 1904. PLEASE TYPE OR PRINT LEGIBLY Full name at birth
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How to fill out month, day, and year:

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Start by locating the designated fields for month, day, and year on the form or document you are filling out.
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Enter the current month in the designated month field. This is usually represented by a number or the full name of the month.
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Fill in the day of the month in the designated day field. Typically, this is a number ranging from 1 to 31.
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Enter the current year in the designated year field. This is usually a four-digit number.
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Double-check your entries to ensure accuracy and make any necessary corrections before submitting the form.

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