GEORGIA DEPARTMENT OF PUBLIC HEALTH. STATE OF GEORGIA BIRTH WORKSHEET⚫ (REVISED 01/2024). The information you provide below will be used to create your ... |
Birth Worksheet v.1.6.4. Page 1. STATE OF GEORGIA. BIRTH WORKSHEET. 1. THIS BIRTH (Single, Twin, Triplet, etc). 2. IF NOT SINGLE, SPECIFY (1st, 2nd, 3rd, 4th ... |
Number of previous live births now living b. Number of previous live births now dead c. Date of last live birth d. Number of fetal deaths ... |
Your birth certificate clerk at this hospital will enter the information from the worksheet directly into GAVERS, Georgia Vital Events Registration System, ... |
State of Georgia. Birth Worksheet. If unmarried, has Paternity Acknowledgment been signed in the hospital? (MM/DD/YYYY). (MM/DD/YYYY). City. State. Zip Code. |
Page 1. 519-02366 A (06/09/2014). Page 2. 519-02366 A (06/09/2014) Не найдено: georgia | Нужно включить: georgia |
STATE OF GEORGIA. BIRTH WORKSHEET. 4. DATE OF BIRTH (mm/dd/yyyy). 6. SEX. 3. CHILD'S NAME: (FIRST. MIDDLE. LAST. SUFFIX). 5. TIME OF BIRTH (24 hr). 1. THIS ... |
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