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Get 210 Declaration 2012-2024

T UNDER HEALTH AND SAFETY CODE SECTIONS 103425 AND 103430 Attachment to Petition for Change of Name and Gender (form NC-200) or Petition for Change of Gender and Issuance of New Birth Certificate (form NC-300) I declare under penalty of perjury under the laws of the State of California that the information in the foregoing declaration is true and correct. Date: (TYPE OR PRINT NAME OF PHYSICIAN) (SIGNATURE OF PHYSICIAN) Page 1 of 1 Form Approved for Optional Use Judicial Council of California.

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Keywords relevant to 210 Declaration

  • NC-300
  • issuance
  • foregoing
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  • CLINICALLY
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  • JUDICIAL
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