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Envelope # AFS # Ohio Department of Health VITAL STATISTICS CERTIFICATE OF ADOPTION CHILD'S PERSONAL DATA 1 Name of Child BEFORE Adoption 2 Date of Birth (Month, Day, Year) 3 Sex 4 Place of Birth (City, County, State or Foreign Country) Child's Name After Adoption First Name Middle Name Last Name ADOPTIVE PARENT(S)' PERSONAL DATA The following information provided below will be used to create the new birt.

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How to fill out the INFORMATION PROVIDED ON THIS FORM IS TO online

Filling out the INFORMATION PROVIDED ON THIS FORM IS TO is an essential step in establishing a new certificate of birth for an adopted child. This guide provides clear and supportive instructions to help users complete the form accurately and efficiently online.

Follow the steps to fill out the form online easily.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Begin with the child's personal data section. Here, enter the name of the child before adoption, the date of birth in the format Month, Day, Year, the child's sex, and the place of birth (city, county, state, or foreign country).
  3. Next, fill in the child's name after adoption by entering the first name, middle name, and last name.
  4. Move to the adoptive parent(s)' personal data section. Indicate whether they are the natural or adoptive parents by checking the appropriate boxes. Provide the first name, middle name, and last name for both the father and mother, along with each parent's date of birth and place of birth.
  5. Enter the parent(s) residence information at the time of the child's birth, including the street address, city, county, state, zip code, and whether they were inside city limits.
  6. For foreign adoptions, include additional required information from the original birth certificate such as the attendant’s name, time of birth, mailing address, hospital or birthing facility, registrar’s name, and the dates filed by the registrar.
  7. Complete the professional certification section, which includes certifying the adoption date, names of petitioners as per the final decree of adoption, case number, and signatures from the probate judge and deputy clerk.
  8. Finally, review all the information filled in the form. Ensure it is accurate and complete. After checking everything, save the changes, and proceed to download, print, or share the form as needed.

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The term “to the best of my knowledge and belief” is used in affidavits and court documents to indicate that statements being made are not knowingly false.

I, THE UNDERSIGNED [name of the authority], hereby certify that the attached text is a true and complete copy of [title of the treaty, name of the parties, date and place of conclusion], and that it was concluded in [languages].

I, THE UNDERSIGNED [name of the authority], hereby certify that the attached text is a true and complete copy of [title of the treaty, name of the parties, date and place of conclusion], and that it was concluded in [languages].

I certify that to the best of my knowledge and belief all of the information on this form is correct. I also understand that failure to report completely and accurately may result in sanctions under my policy, including but not limited to voidance of the policy, and in criminal or civil penalties (18 U.S.C.

certify that the above facts are true to the best of my knowledge and belief and I understand that I subject myself to disciplinary action in the event that the above facts are found to be falsified.

I HEREBY CERTIFY that the information provided in this form is complete, true and correct to the best of my knowledge.

to say in a formal or official way, usually in the form of an official document, that something is true or correct: [ + (that) ] I hereby certify (that) the above information is true and accurate. [ + noun/adj ] The man was certified (as) dead on arrival at the hospital.

I hereby declare that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I understand that if the information given by me is proved false/not true, I will have to face the punishment as per the law.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232