Get Birth Certificate And Spds Work Booklet

Completing the Birth Certificate and Statewide Perinatal Data System Work Booklet is an essential step for registering a newborn's birth. This guide will provide you with clear, step-by-step instructions on how to accurately fill out the form online, ensuring that all necessary information is submitted correctly.

Follow the steps to complete the online form successfully.

1. Press the ‘Get Form’ button to access the Birth Certificate and SPDS Work Booklet and open it in your chosen online editor.
2. Begin by entering the mother's full name in the designated fields, including first, middle, and last names. Fill in her medical record number as well as her date of birth in the required format (MM/DD/YYYY).
3. Next, provide the infant's name information. Input the infant's first name, middle name, last name, and any suffixes if applicable. Additionally, specify the birth order and time of birth.
4. Indicate the place of birth. Select from the options such as hospital, home, or birthing center, and fill out the required information based on your choice.
5. Enter the name of the attendant and certifier, along with their license numbers and titles. Make sure to check the box if the certifier is the same as the attendant.
6. Fill in the payment information, specifying whether Medicaid or another plan is the primary or secondary payor for the delivery.
7. Complete the demographics section for both parents, including education, race, and birth information.
8. Sign and date the document on behalf of both parents, ensuring compliance with the Social Security Administration's Enumeration at Birth program if interested.
9. After reviewing all entered information for accuracy, save your changes. You can then download, print, or share the completed form as needed.

Complete your documents online today to ensure a smooth birth registration process.