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Get West Virginia Birth Certificate

S to information that would be found on the certificate being requested. Name of person on the certificate First Middle Date of Birth Month/Day/Year Last Mother s Maiden Name First Middle Sex: Last Father s Name Male First Middle Female Last Place of Birth County City State Hospital Requestor s Relationship: Guardian or agent Parent/Grandparent Certificate of my own birth Child/Grandchild Brother/Sister Spouse Making false statements and misuse of vital records.

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