A copy of the forms go to:

1.

2.

3.

12. All blanks must be filled in on the form or there must be an explanation of omission.T or F

13. In adoption cases, information on the natural birth parents is omitted. T or F

14. Birth on moving conveyance: certificate is filed in the district in which the mother gave birth. T or F

15. In a birth outside of an institution, the certificate is prepared and filed by:

1.

2.

3.