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  1. Click ‘Get Form’ to open the Supplemental Name Report – Birth in the editor.
  2. Begin by entering the FULL NAME OF CHILD in Part I, ensuring accuracy as it should appear on the birth certificate.
  3. Complete Items 2 through 7C with information as it appears on the original record, including sex, date of birth, and place of birth.
  4. In Part II, have at least one parent complete their respective sections (items 8A-9F) and ensure signatures are provided.
  5. Review all entries for clarity and legibility; remember that only black ink is acceptable if filling out manually.
  6. Once completed, save your document and follow the instructions to submit it along with any required fees to the Office of Vital Records.

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municipal form 102 revised august 2016 pdf

U. S. Standard Certificate of Live Birth (November 2003)

by USSCOFL BIRTH NOTE: This recommended standard birth certificate is the result of an extensive evaluation process. Information on the process and resulting recommendations asRead more

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Jun 19, 2012 To provide information important for protecting the health of military and civilian personnel, three studies were conducted to.Read more

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