INSTRUCTIONS FOR COMPLETING A BIRTH CERTIFICATE FOR HOME BIRTHS - CUPHD
INSTRUCTIONS FOR COMPLETING A BIRTH CERTIFICATE FOR HOME BIRTHS
The certificate of Live Birth must be filed with the Registrar of the County in which you live within a year after the
child's birth. Most of the blocks to be filled in are self-explanatory, such as child's name, date of birth, time of birth, etc.
Item 10a:
Certifier: a physician or any other person in attendance at the birth (including the midwife) who can certify that
the child was born alive at the place and time stated on the worksheet. This signature is required on the worksheet.
Item 23a or 23b:
Informant: the person responsible for providing the personal facts of the birth. This is usually the mother, but the
father or another adult having knowledge of the personal facts (facts that are not medical in nature, such as residence,
age and education of the parents, Etc) can supply the information. This signature is required on the worksheet.
Midwife: (a) Lay Midwife: any person assisting with the birth of the child. (B) Certified Nurse Midwife: A registered
nurse that has been trained in obstetrics and is academically certified to assist in the birth of a child. A midwife can be
listed and sign as certifier on the worksheet. They also can be listed as an attendant on the worksheet and/or certificate.
Third Party Statement: if the birth certifier is the mother, father, or person in charge of the premises where the birth
occurred, the filing of the birth record must be accompanied by a statement from a physician who later gave individual
care to the mother or child, if any, OR a sworn (notarized) statement by a third party present at the delivery or having
personal knowledge of the delivery.
WHO FILES THE BIRTH RECORD?
When a birth occurs outside an institution, the worksheet is prepared, filed, and signed by a certifier in the indicated
order of priority:
(A) The physician in attendance at immediately (within 72 hours) after the birth, or in the absence of such a
person,
(B) Any other person in attendance at immediately (within 72 hours) after the births, or in the absence of such
a person,
(C) The father, the mother, or in the absence of the father and the inability of the mother, the person in charge
of the premises where the birth occurred.
WHEN IS THE 3rd PARTY STATEMENT REOUIRED?
If the birth certifier is the mother, father, or person in charge of the premises where the birth occurred, the filing of the
birth record must be accompanied by a statement from a physician who later gave care to the mother or child, if any,
OR a sworn (notarized) statement by a third party present at the delivery or having personal knowledge of the delivery.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- instructions for completing the oregon report of live birth on paper
- department of public health registry of vital records and statistics
- the certificate of live birth worksheet
- guide to completing the facility worksheets for the certificate of live
- pennsylvania s guidance on reporting live births for newborns
- certificate of live birth worksheet arizona department of health services
- affidavit of amendment of certificate of live birth
- u s standard certificate of live birth centers for disease control
- board of trustees american medical association
- certificate of live birth worksheet marinhealth
Related searches
- birth certificate replacement scranton pa
- scranton birth certificate center
- scranton pa birth certificate office
- birth certificate replacement pennsylvania
- birth certificate state of pennsylvania
- pa birth certificate application pdf
- pennsylvania certified birth certificate copy
- pa birth certificate application form
- pa birth certificate form download
- pennsylvania birth certificate replacement
- printable application for birth certificate california
- how to get a birth certificate replacement