Child -
Mother -
Father -
Signature -
What are the requirements to complete the birth certificate for "Safe Haven" events?
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Question # 9:
Child -
Mother -
Father -
Signature -
Indicate "Safe Haven" in the notes section for electronic filing or on the back for paper filing.
Child -
Mother -
Father -
Signature -
Indicate "Safe Haven" in the notes section for electronic filing or on the back for paper filing.
Safe Haven baby
Mother's name
Fathers's name, if available
Parent(s) signature
"BABY (boy or girl) DOE"
Unknown
Unknown
Blank or Unavailable
Name
Mother's name
Fathers's name, if available
Parent(s) signature
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