Mother s Worksheet for Child s Birth Certificate - Louisiana ... - new dhh louisiana 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your baby’s legal name in fields 1-4. Ensure accuracy as this will appear on the birth certificate.
3. Fill in your current legal name in field 5, followed by your date of birth in field 6.
4. Provide details about your birthplace and residence in fields 8 and 9, respectively. Be sure to include complete addresses.
5. Indicate whether you want a Social Security Number for your baby in question 12a, and sign if applicable.
6. Complete questions regarding marital status and paternity acknowledgment as required, ensuring all relevant information is provided.
7. Finally, review all entries for accuracy before signing at the bottom of the form to certify that the information is correct.

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