Get Il 444-2636 2014-2026

Filling out the IL 444-2636, also known as the Record of Birth form, is a crucial step for ensuring medical assistance for newborns. This guide will walk you through each section of the form, providing clear and detailed instructions to help you complete it online with ease.

Follow the steps to fill out the IL 444-2636 accurately.

1. Click ‘Get Form’ button to access the IL 444-2636 form and open it in your online editor.
2. Begin by filling out the case name. Enter the last name, first name, and middle name of the child as required.
3. Enter the case number, which is an essential identifier for the process.
4. Fill in the name of the hospital where the birth took place.
5. Provide the hospital's address, ensuring you include the street, city, state, and zip code.
6. Next, enter the baby’s full name by providing the last name, first name, and middle name.
7. If the birth is multiple, list the names of any birth siblings in the designated area.
8. Indicate the date of birth and the sex of the baby. This information is vital for official records.
9. If applicable, provide the relevant date regarding the child's adoption or death.
10. Fill in the mother's full name, including last, first, and middle names, along with her maiden name.
11. Enter the mother's Social Security number and birth date accurately.
12. Provide the mother's recipient number and phone number for contact purposes.
13. Complete the mother’s address with all required information: street, city, state, and zip code.
14. Fill in the father’s full name as you did for the mother, including last, first, and middle names.
15. Enter the father’s Social Security number along with his birth date.
16. Provide the father’s address, ensuring all sections are filled correctly.
17. Input the hospital contact person's name and have authorized hospital staff sign in the designated area.
18. Finally, enter the hospital contact's phone number and the date of filing.
19. Once all sections are completed, review the form for accuracy, then save your changes, download, print, or share the form as needed.

Complete your IL 444-2636 form online today for efficient processing.