12 Va. Admin. Code § 5-550-100 - Birth certificate items
A. Certificate of Live Birth, Commonwealth of
Virginia, for registrations at time of birth, shall contain the following
items: child's full name; place of birth; usual residence of mother; sex of
child; single or plural birth, and birth order of plural birth; date of birth;
full name of father (except when mother is not married to the father); age of
father (except when mother is not married to the father); birthplace of father
(except when mother is not married to the father); full maiden name of mother;
age of mother; birthplace of mother; certification of parent (if available);
certification of attendant at the birth, including title, address and date
signed; date the certificate was received by the registrar; registrar's
signature; registration area and certificate numbers; state birth number; and
supplemental confidential data to consist of the following items: medical
record and social security numbers of the mother; medical record number of the
child; hispanic origin, if any, and race of mother; education of mother; mother
transferred prior to delivery; hispanic origin, if any, and race of father
(except when mother is not married to the father); social security numbers of
the father; education of father (except when mother is not married to the
father); pregnancy history of mother, including date of last live birth and
date of last other termination of pregnancy; date of last normal menses and
physician's or midwife's estimate of gestation; month of pregnancy prenatal
care began; source of prenatal care; number of prenatal visits; birthweight of
child in grams; mother married to father of child; Apgar score of child at one
minute and five minutes; obstetric procedures and method of delivery; newborn
conditions and congenital malformations or anomalies of child, if any; infant
transferred; medical history for this pregnancy; other history for this
pregnancy; events of labor and delivery, and an optional item for the parent to
request the State Registrar to report the birth to the Social Security
Administration for account number issuance.
B. Delayed Certificate of Birth, Commonwealth
of Virginia, for delayed registrations of birth, shall contain the following
items: full name at time of birth; sex; place of birth; date of birth; name of
father (except when mother was not married to father at the time of birth or
during the 10 months next preceding the birth); race of father (except when
mother was not married to the father); birthplace of father (except when mother
was not married to the father); full maiden name of mother; race of mother;
birthplace of mother; certification and signature of applicant; address of
applicant; relationship of applicant to registrant; statement and signature of
notary public (or other official authorized to administer oaths); description
of documentary evidence submitted; certification and authorized signature of
the State Registrar; date certificate filed by the State Registrar; and number
of certificate.
C. Certificate of
Live Home Birth, Commonwealth of Virginia, is required to be registered within
30 days after time of birth and shall be registered with the local health
department in which the birth occurred. The local registrar or the deputy
registrar shall forward such registration of Live Home Birth filed within 30
days to the State Registrar. The Certificate of Live Home Birth, Commonwealth
of Virginia, for registrations at time of birth, shall contain the following
items: child's full name; place of birth; usual residence of mother; sex of
child; single or plural birth and birth order of plural birth; date of birth;
full name of father (except when the mother is not married to the father); age
of father (except when the mother is not married to the father); birthplace of
father (except when the mother is not married to the father); full maiden name
of mother; age of mother; birthplace of mother; certification of parent (if
available); certification of attendant at birth, including title, address, and
date signed; date the certificate was received by the registrar; registrar's
signature; registration area and certificate numbers; state birth number; and
supplemental confidential data to consist of the following items: medical
record and social security numbers of the mother; hispanic origin, if any, and
race of mother; education of mother; mother transferred prior to delivery;
hispanic origin, if any, and race of father (except when mother is not married
to the father); social security number of the father; education of father
(except when mother is not married to the father); pregnancy history of the
mother, including date of last live birth and date of last other termination of
pregnancy; date of last normal menses and physician's or midwife's estimate of
gestation; month of pregnancy prenatal care began; source of prenatal care;
number of prenatal visits; birth weight of child in grams; mother married to
father of child; Apgar score of child at one minute and five minutes; obstetric
procedures and method of delivery; newborn conditions and congenital
malformations or anomalies of child, if any, infant transferred; medical
history of this pregnancy; other history of this pregnancy; events of labor and
delivery and an optional item for the parent to request the State Registrar to
report the birth to the Social Security Administration for account number
issuance. If the Certificate of Live Home Birth is not filed at the time of
birth or within 30 days, supporting documents to establish a registration may
be required and shall be as follows:
1.
Evidence of pregnancy, such as but not limited to:
a. Prenatal record;
b. A statement from a physician or other
health care provider qualified to determine pregnancy;
c. A home visit by a public health nurse or
other health care provider; or
d.
Other evidence acceptable to the State Registrar.
2. Evidence that the infant was born alive,
such as but not limited to:
a. A statement
from the physician or other health care provider who saw or examined the
infant;
b. An observation of the
infant during a home visit by a public health nurse; or
c. Other evidence acceptable to the State
Registrar.
3. Evidence
of the mother's presence in the Commonwealth of Virginia on the date of the
birth, such as but not limited to:
a. If the
birth occurred in the mother's residence;
(1)
A driver's license or state-issued identification card that includes the
mother's current residence on the face of the license/card;
(2) A rent receipt that includes the mother's
name and address;
(3) Any type of
utility, telephone, or other bill that includes the mother's name and address;
or
(4) Other evidence acceptable to
the State Registrar.
b.
If the birth occurred outside of the mother's place of residence and the mother
is a resident of the Commonwealth of Virginia, such evidence shall consist of
the following:
(1) An affidavit from the
owner, supervisor, manager and tenant of the premises where the birth occurred
stating that the mother was present on those premises at the time of the
birth;
(2) Evidence of the
affiants' residence similar to that required in subdivision 3 of this
subsection; and
(3) Evidence of the
mother's residence in the Commonwealth of Virginia similar to that required in
subdivision 3 a of this subsection.
c. If the mother is not a resident of the
Commonwealth of Virginia, evidence that the home birth took place in Virginia
must consist of clear and convincing evidence acceptable to the State
Registrar, such as affidavits of the persons present at the time of the birth,
proof of such affiants' residence as set out in subdivision 3 a of this
subsection, ambulance records, police records, or the like.
Notes
Statutory Authority
§§ 32.1-12 and 32.1-250 of the Code of Virginia.
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