$20 first record $15 every additional record ordered and paid for at the same time - public health o 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the 'Full Name of Child' in the designated fields, ensuring you include the first, middle, and last names.
  3. Next, input the 'Date of Delivery' accurately to avoid any processing delays.
  4. Select the 'Sex' of the child from the provided options.
  5. Fill in the 'Place Delivery Occurred' to specify where the birth took place.
  6. Provide both parents' full names in their respective sections. Ensure that only biological parents are ordering.
  7. Enter your contact information including 'Daytime Telephone Number' and 'Email'.
  8. Complete your address details accurately, including city, state, and zip code.
  9. Sign where indicated and attach a photocopy of a valid ID as required. If you lack an ID, refer to alternative identification options on the second page.

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