According to the Department of Health Office of Vital Statistics, Jacksonville, Florida (904) 359-6900
For Electronic Filing - At a minimum indicate in the notes section: “Safe Haven”.
For Paper Filing – Indicate in
the blank section on the back of the Birth Certificate: “Safe Haven”.
If the birth certificate inadvertently contains the parent(s)
name, contact the Department of Health Office of Vital Statistics as they are familiar with the Safe Haven program and they will
follow their "re-issue procedures".
Child: "BABY (boy or girl) DOE"
Mother: Unknown
Father: Unknown
Signature: Blank or unavailable
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Birth Certificate Documentation -
Newborn Intake / Processing by Hospitals:
ŘThe Birth Certificate should be completed as follows: