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Birth Certificate Verification form - City of Salem 2026

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  1. Click ‘Get Form’ to open the Birth Certificate Verification form in the editor.
  2. Begin by entering your Employee Name and Employee Number at the top of the form. This information is essential for identification purposes.
  3. For each child, fill in their Full Legal Name, Sex, Birth Date, Date Birth Certificate Issued, Birth Record Number, and Date Record Filed. Ensure accuracy as this data will be verified against official documents.
  4. Provide the Mother’s and Father’s names along with their birthplaces for each child listed. This information helps establish legal relationships.
  5. Sign and date the form at the bottom to confirm that all provided information is correct before submission.
  6. After completing the form, you may need to present an original or certified copy of your child(ren)’s birth certificate to Human Resources for verification.

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