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Get IL HFS 3416B 2016

Et address. 8 City/County/State of birth Enter city, county, and state where the birthing center or hospital is located. If not born in a medical facility, enter city, county, and state where the birth actually occurred. BIOLOGICAL FATHER INFORMATION (boxes 9 – 15) Biological Father – The biological father is the man who provided the paternal genes of the child. The biological father is sometimes referred to as the natural father. 9 Full name of the biological father Enter first, middle and .

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