reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 470 - SPERM BANK AND TISSUE BANK CODE › Section 470.30 - Registration Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
All Sperm Banks and Tissue Banks operating in this state shall
				register with the Department by May 1 of each year, by filing a written
				registration form in duplicate. (Section
				55.45 of the Act.) The
				written registration of a Sperm Bank or Tissue Bank shall be on forms provided
				by the Department containing the following information:
a) Name and address of the person, hospital,
			 clinic, corporation, partnership or other legal entity which owns the sperm
			 bank or tissue bank.
b) Name and
			 address of the person, hospital, clinic, corporation, partnership or other
			 legal entity which operates the sperm bank or tissue bank, if different from
			 the owner.
c) A list of addresses
			 and telephone numbers of all locations utilized in operating the sperm bank or
			 tissue bank.
d) An explanation of
			 the operation and services provided by the sperm bank or tissue bank.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 470 - SPERM BANK AND TISSUE BANK CODE › Section 470.40 - Testing Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
			 donors of semen for purposes of artificial insemination, or donors of corneas,
			 bones, organs, or other human tissue for the purpose of injecting, transfusing
			 or transplanting any of them in the human body except for autologous
			 injections, transfusions and transplantations, shall be tested by the potential
			 donor's attending physician or by the Sperm Bank or Tissue Bank for evidence of
			 exposure to human immunodeficiency virus (HIV) and any other identified
			 causative agent of acquired immunodeficiency syndrome (AIDS) at the time of or
			 after the donation, but prior to the semen, corneas, bones, organs, or other
			 human tissue being made available for such use.
1) All potential donors or Legally Authorized
			 Representative shall receive the HIV pre-test information set forth in 77 Ill.
			 Adm. Code
			 697.110(a)
			 and be given the opportunity to refuse HIV testing. However, the written
			 informed consent provisions of 77 Ill. Adm. Code
			 697.120 are not
			 required.
2) If permission for HIV
			 testing is not given, then the person shall not be accepted as a
			 donor.
3) The results of HIV
			 testing shall be disclosed in accordance with the applicable provisions of 77
			 Ill. Adm. Code 250, 77 Ill. Adm. Code 450, 77 Ill. Adm. Code 460, 77 Ill. Adm.
			 Code 697 and 77 Ill. Adm. Code 470.
4) The results of HIV testing shall be kept
			 confidential in accordance with the provisions of 77 Ill. Adm. Code
			 697.140.
5) The donated semen, organs or other human
			 tissue shall be disposed of in accordance with the provisions of Section
			 470.70
			 of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 470 - SPERM BANK AND TISSUE BANK CODE › Section 470.50 - Prohibitions Against Use

Current through Register Vol. 48, No. 28, July 12, 2024
a) No
			 person may intentionally, knowingly, recklessly or negligently use the semen,
			 corneas, bones, organs, or other human tissue of a donor unless the following
			 conditions are met:
1) The requirements of
			 subsection (b) (Section
			 470.40 of this
			 Part) have been met, and
2) The
			 semen, corneas, bones, organs, or other human tissue or donors of semen,
			 corneas, bones, organs, oocytes (eggs) or other human tissue has not tested
			 positive for exposure to HIV or any other identified causative agent of
			 AIDS.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 470 - SPERM BANK AND TISSUE BANK CODE › Section 470.60 - Research Use

Current through Register Vol. 48, No. 28, July 12, 2024
Any organs, semen or other human tissue showing exposure to HIV
				as evidenced by two of three reactive enzyme-linked immunosorbent assay (ELISA)
				test results (according to the package insert - product circular) on a blood
				sample from the donor or any other identified causative agent of AIDS or
				originating from a patient diagnosed with AIDS or ARC as defined in 77 Ill.
				Adm. Code
				693.20,
				shall be disposed of in accordance with the provisions of Section
				470.70
				of this Part, unless a research facility licensed by the State requests, in
				writing, the use of such organs, semen, or other human tissue for AIDS
				research. Any such semen or human tissue shall be disposed of in accordance
				with Section
				470.70
				when no longer being used for research purposes.
a) A research facility, for the purposes of
			 this Section, shall mean any clinical laboratory licensed under the Clinical
			 Laboratory Act (Ill. Rev. Stat. 1987, ch. 1111/2, par. 621 et seq.), any blood
			 bank licensed under the Illinois Blood Bank Act (Ill. Rev. Stat. 1987, ch.
			 1111/2, par. 601-101 et seq.) or any hospital licensed under the Hospital
			 Licensing Act (Ill. Rev. Stat. 1987, ch. 1111/2, par. 142 et seq.).
b) Any person delivering such organs, semen
			 or other human tissue to research facilities pursuant to such a request shall
			 file a report with the Department which shall include at least the following
			 information:
1) A copy of the request for
			 semen or other human tissue;
2) The
			 quantity of semen or other human tissue delivered;
3) The name and location of the research
			 facility to which the semen or other human tissue was delivered; and
4) The date and time of delivery.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 470 - SPERM BANK AND TISSUE BANK CODE › Section 470.70 - Disposal of Contaminated Semen and Human Tissue

Current through Register Vol. 48, No. 28, July 12, 2024
All semen and human tissue showing exposure to HIV as evidenced
				by two of three reactive ELISA test results (according to the package insert -
				product circular) on a blood sample from the donor or any other identified
				causative agent of Acquired Immunodeficiency Syndrome (AIDS) or originating
				from an individual diagnosed with AIDS or AIDS-Realted Complex (ARC) as defined
				in 77 Ill. Adm. Code
				693.20,
				shall be disposed of in accordance with the following requirements:
a) Any such semen or human tissue, or any
			 materials or paraphenalia exposed to or contaminated by such blood or human
			 tissue shall be completely incinerated or sterilized or sealed in order to
			 render the materials innocuous before disposal or removal from the
			 premises.
b) The incineration of
			 materials shall be done in accordance with the requirements of the Illinois
			 Environmental Protection Agency concerning the operation of an incinerator. (35
			 Ill. Adm. Code 700.)
c) The
			 sterilization of materials shall be done by autoclaving the materials in
			 accordance with the manufacturer's recommendations and the effectiveness of the
			 autoclave shall be verified and documented at least weekly with a biological
			 spore assay containing B. stearothermophilus.
d) The disposal or removal of materials
			 outside of the facility shall be done in the following manner:
1) Incinerated or sterilized materials shall
			 be disposed of through routine waste disposal methods with no precautions
			 against possible contamination.
2)
			 Materials which have not been incinerated or sterilized shall be disposed of by
			 a waste hauler with a proper permit from the Illinois Environmental Protection
			 Agency. (35 Ill. Adm. Code 809.) These materials must be sealed, transported
			 and stored in biohazard containers.
A) These
			 containers shall be marked "Biohazard", bear the universal biohazard symbol,
			 and be orange, orange and black or red.
B) The containers shall be rigid and
			 puncture-resistant such as a secondary metal or plastic can with a lid that can
			 be opened by a step-on pedal. These containers shall be lined with one or two
			 high density polyethyene or polypropylene plastic bags with a total thickness
			 of at least 2.5 mil. or equivalent material.
C) The containers which are marked
			 "Biohazard" shall be sealed before being removed from the Sperm Bank or Tissue
			 Bank.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 470 - SPERM BANK AND TISSUE BANK CODE › Section 470.80 - Penalty

Current through Register Vol. 48, No. 28, July 12, 2024
Any person, hospital, clinic, corporation, partnership or other
				legal entity which operates a Sperm Bank or Tissue Bank in this State and fails
				to register with the Department pursuant to this section commits a business
				offense and shall be subject to a fine of $5000. (Section 55.54 of the
				Act.)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 475 - LABORATORY SERVICE FEES › Section 475.10 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
"Clinical Laboratory Improvement Amendments" or "CLIA" means
				federal regulations (Centers for Medicare and Medicaid Services, United States
				Department of Health and Human Services) (Laboratory Requirements; 42 CFR 493 )
				(10/1/13) providing standards applicable to all facilities or sites in the
				United States that test human specimens for health assessment or to diagnose,
				prevent or treat disease.
"Department" means the Department of Public Health.
"Director" means the Director of the Department of Public
				Health.
"Laboratory" means the Division of Laboratories of the Illinois
				Department of Public Health, including its Chicago, Springfield and Carbondale
				Laboratories, and any other site designated by contract to perform Department
				Laboratory services.
"Person" means:
a medical provider;
the State, its agencies and departments, and its officers and
				employees;
any local health department and its officers and
				employees;
any grantee or contractor of the Department that agrees to
				provide services to the Department, or on behalf of the Department, and
				officers and employees of a grantee or contractor.
"Quality Control" means a procedure or set of procedures to
				assure the accuracy of results reported by the Laboratory.
"Supplemental Test" means any test approved by the United
				States Food and Drug Administration or validated under a laboratory's CLIA
				certification that is used to further characterize a specimen that had received
				a positive result when initially screened by the Laboratory.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 475 - LABORATORY SERVICE FEES › Section 475.12 - Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
a The
			 following Illinois statutes and administrative rules are referenced in this
			 Part:
1 Civil Administrative Code of Illinois
			 [20 ILCS 2310 ]
2 Newborn Metabolic
			 Screening and Treatment Code (77 Ill. Adm. Code 661)
3 Lead Poisoning Prevention Code (77 Ill.
			 Adm. Code 845)
4 Control of
			 Communicable Diseases Code (77 Ill. Adm. Code 690)
5 Control of Tuberculosis Code (77 Ill. Adm.
			 Code 696)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 475 - LABORATORY SERVICE FEES › Section 475.15 - Applicability

Current through Register Vol. 48, No. 28, July 12, 2024
a) This Part is
			 applicable only to diagnostic laboratory tests. This Part does not apply to
			 reference laboratory tests performed free of charge by the Department, or to
			 other laboratory analyses performed free of charge for either the Department or
			 local health departments.
b) This
			 Part is not applicable to the Department's Laboratory screening of newborns for
			 metabolic diseases under the Newborn Metabolic Screening and Treatment Code or
			 to screening of children for elevated blood lead levels under the Lead
			 Poisoning Prevention Code. The fees established in this Part are in addition to
			 other Laboratory fees established under separate statutory authority for two
			 specific purposes: screening newborns for metabolic diseases under the Newborn
			 Metabolic Screening and Treatment Code and screening children for elevated
			 blood lead levels under the Lead Poisoning Prevention Code.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 475 - LABORATORY SERVICE FEES › Section 475.17 - Authorization to Submit Specimens or Samples

Current through Register Vol. 48, No. 28, July 12, 2024
Each test performed by the Department of Public Health Division
				of Laboratories is in support of the Department of Public Health's mission to
				support public health programs by providing surveillance data. Testing services
				are authorized by local health departments or Department of Public Health
				programs.
a Authorization to obtain
			 testing services is based on criteria including, but not limited to: the need
			 for public health surveillance data with consideration of private testing
			 availability; the need to characterize or identify an outbreak; prior approval
			 from the Department or a local health department; or a submission that is
			 required by the Control of Communicable Diseases Code or the Control of
			 Tuberculosis Code.
b Authorization
			 will be given for submission of clinical specimens if the submissions are part
			 of a routine, ongoing surveillance program. Specimens that are not part of a
			 routine, ongoing surveillance program will require specific authorization for
			 each submission. In those situations, medical providers shall discuss
			 submission of the specimen with the relevant local health departments or
			 Department of Public Health programs.
c Authorization will be given for continued
			 submission of specified types of non-clinical samples if the submissions are
			 part of a routine, ongoing surveillance program. Examples are water samples,
			 food samples and rabies (animal) samples. Samples that are not part of a
			 routine, ongoing surveillance program will require specific authorization for
			 each submission. In those situations, local health departments shall discuss
			 submission of the sample with Department of Public Health programs.
d Samples or specimens submitted to the
			 Laboratory without proper authorization will not be tested. Laboratory staff
			 will contact the submitter and determine whether the sample/specimen will be
			 returned or destroyed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 475 - LABORATORY SERVICE FEES › Section 475.30 - Statement of Fee Assessment

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Fees for Laboratory analyses shall be paid prior to services being provided,
			 unless prior arrangements are made with the Department to bill the person
			 submitting the sample/specimen.
b)
			 For persons with approval from the Department to submit samples/specimens
			 without advance or accompanying payment, statements of fee assessment will be
			 mailed or otherwise delivered to persons submitting samples for analysis
			 monthly or quarterly as determined by the Director, depending on the number of
			 samples or other circumstances unique to the testing.
c) Receipt of statements of fee assessment
			 will be presumed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 475 - LABORATORY SERVICE FEES › Section 475.40 - Payment of Fees

Current through Register Vol. 48, No. 28, July 12, 2024
a) Persons
			 submitting samples for analysis shall either pay for the service in advance or
			 submit the necessary fee with the sample/specimen, unless the submitter is a
			 local health department or arrangements have been made with the Department to
			 bill the submitter for the services.
b) For local health departments and other
			 persons that are approved to submit samples/specimens without advance or
			 accompanying payment, the submitter shall render payment of fees assessed upon
			 receipt of a statement of fee assessment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 475 - LABORATORY SERVICE FEES › Section 475.50 - Failure to Submit Payment

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Unless prior arrangements have been made with the Department to bill the
			 submitter for Laboratory services rendered, the Laboratory may refuse to accept
			 or may discard any sample/specimen that is not accompanied by the required
			 service fee.
b) For local health
			 departments and other persons approved to submit samples/specimens without
			 advance or accompanying payment, failure to submit full payment within two
			 months after assessment shall be grounds for the Department to refuse future
			 samples/specimens.
c) The fee for a
			 dishonored negotiable instrument, including, but not limited to, returned
			 checks or insufficient payment, will be $35.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.15 - Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
The following Illinois statutes and administrative rules are
				referenced in this Part:
a) Freedom of
			 Information Act [5 ILCS 140 ]
b) State Records Act [5 ILCS
			 160 ]
c)
			 Cadaver Act [410 ILCS 510 ]
d) Vital Records Act [410 ILCS
			 535 ]
e)
			 Article 8, Part 21 of the Code of Civil Procedure [735 ILCS
			 5/Art. 8, Part 21]
f) Illinois Parentage Act of 1984
			 [750 ILCS
			 45 ]
g)
			 Gestational Surrogacy Act [750 ILCS 47 ]
h) Adoption Act [750 ILCS 50
			 ]
i) Uniform Anatomical Gift Act
			 [755 ILCS
			 50 ]
j)
			 Illinois Marriage and Dissolution of Marriage Act [750 ILCS 5
			 ]
k) Illinois Religious Freedom
			 Protection and Civil Union Act [750 ILCS 75 ]
l) Juvenile Court Act of 1987 [705 ILCS
			 405 ]
m)
			 Local Health Protection Grant Code (77 Ill. Adm. Code 615)
n) Access to Records of the Department of
			 Public Health (2 Ill. Adm. Code 1127)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.22 - Fee Waivers

Current through Register Vol. 48, No. 28, July 12, 2024
a) Department of
			 Corrections and Department of Juvenile Justice:
1) Search Fee Waivers. The $10
search
			 fee shall not be required for a birth record search from a person:
A)
Upon release on parole, mandatory
			 supervised release, final discharge, or pardon from the
Illinois
Department of Corrections if the person presents a prescribed
			 verification form completed by the
Illinois
Department of
			 Corrections verifying the person's date of birth and social security number;
			 or
B)
Placed on
			 aftercare release under the Juvenile Court Act of 1987, upon release on parole,
			 mandatory supervised release, final discharge, or pardon from the
Illinois
Department of Juvenile Justice if the person presents a
			 prescribed verification form completed by the
Illinois
Department of Juvenile Justice verifying the person's date of birth and
			 social security number
(Section 25(1) of the Act).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.40 - Amendments, Additions or Corrections to Vital Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) The State Registrar shall endorse on the
			 record or certificate the following additions and/or minor corrections made
			 within one year after the date of occurrence without the certificate being
			 considered amended. Additions or minor corrections shall be made unless the
			 change affects the integrity of the record (for example, a contradiction to
			 existing documentation such as a hospital medical record). For purposes of this
			 Section, singular terms should be read to include the plural and vice versa,
			 unless the context clearly indicates otherwise.
1) Minor Birth Corrections include, but are
			 not limited to:
A) Additions and/or changes
			 of given names of the registered person;
B) Changes in the time of birth, if it does
			 not change date of occurrence;
C)
			 Changes in the sex designation of the registered person within one year after
			 the date of birth, if justified by the given name or based on the newborn
			 delivery records from the hospital;
D) Spelling errors or omissions of the
			 parents' first or middle name;
E)
			 Parents' ages, if within two years of the age shown;
F) Parents' places of birth, if the country
			 is not different;
G) Mother's
			 residence and/or mailing address at the time of occurrence; or
H) Spelling errors in the registered person's
			 and/or parent's surname, if verified by a signature.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.43 - Amendments to Birth Records Following Gender Re-assignment

Current through Register Vol. 48, No. 28, July 12, 2024
Changes to gender on birth records following an operation
				having the effect of reflecting, enhancing, changing, reassigning or otherwise
				affecting gender designation on an existing Illinois birth record shall be
				governed by this Section. A person born in Illinois, with an existing Illinois
				birth record, may submit an application to the Department seeking to have the
				gender changed on his or her own birth record after undergoing an operation
				having the effect of reflecting, enhancing, changing, reassigning or otherwise
				affecting gender. The burden of proof shall be on the applicant to clearly
				demonstrate that he/she has met the gender change criteria set forth in this
				Section.
a) Except as provided in
			 subsection (b), all requested changes shall be supported by an affidavit of a
			 physician, licensed to practice medicine in Illinois or any other State. The
			 physician's affidavit shall clearly state that he or she has performed an
			 operation on the applicant that has reassigned the gender of the applicant, and
			 that, by reason of the operation, the sex designation on the applicant's birth
			 record (certificate) should be changed. (Section 1(9) and 17(d) of the Act) The
			 affidavit shall specify the name of the operation or operations that justify
			 the change in gender on the applicant's birth record.
b) Applicants who have undergone a gender
			 reassignment operation outside of the United States shall submit an affidavit
			 signed by an examining physician duly licensed to practice medicine in Illinois
			 or any state in the United States. The affidavit shall clearly establish that
			 the examining physician personally examined the applicant and shall clearly
			 state that the identified operation previously performed has reassigned the
			 applicant's gender and justifies a change in the applicant's gender on his/her
			 birth record.
c) The Department
			 shall specify the form of the application and supporting affidavits and shall
			 have the authority to request additional information and documentary proof,
			 including copies of certified medical or other records.
d) Name changes shall comply with separate
			 criteria for name changes in this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.45 - New Certificates of Birth

Current through Register Vol. 48, No. 28, July 12, 2024
This Section is based upon Section 17 of the Act. In the
				following instances, a new birth certificate shall be prepared (if requested)
				upon receipt of a Certificate of Adoption or a certified copy of the order of
				adoption and shall be filed by the State Registrar. Preparation of the new
				certificate is contingent upon the receipt of proper evidence. An amendment of
				a Certificate of Live Birth shall not be made in the following
				instances:
a) Legal adoption (in
			 Illinois or elsewhere) of a person born in Illinois;
1) Upon receipt of a Certificate of Adoption
			 or a certified copy of the order of adoption pertaining to a single parent
			 adoption, the Certificate of Live Birth shall reflect the following:
A) Mother adopts a child or an adult. The
			 State Registrar shall enter in the item designation for father, "Single Parent
			 Adoption," or "Single Parent," or leave this space blank.
B) Father adopts a child or an adult. The
			 State Registrar shall enter in the item designation for mother, "Single Parent
			 Adoption," or "Single Parent," or leave this space blank.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.60 - Court Order to Restore Original Certificate of Birth

Current through Register Vol. 48, No. 28, July 12, 2024
a) If a court of competent jurisdiction
			 enters a decree or order in which it finds that it is in the best interest of a
			 person for whom a new birth certificate has been established that his or her
			 original birth certificate be restored, the State Registrar, upon receipt of a
			 certified copy of such order or decree, shall restore the original Certificate
			 of Live Birth to its place in the files, and the new certificate and evidence
			 shall not be subject to inspection or certification, except upon order of a
			 court of competent jurisdiction.
b)
			 The copies of the original birth certificate shall be returned by the State
			 Registrar to the custodians of local records who shall replace them in their
			 official file and surrender the copy of the newly prepared birth record to the
			 State Registrar to be sealed from inspection.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.70 - Availability of Medical and Health Information

Current through Register Vol. 48, No. 28, July 12, 2024
a) All reports issued by the Department that
			 are aggregated to make it impossible to identify any patient or reporting
			 facility, including the annual report, shall be made available to the public
			 pursuant to the Access to Records of the Department of Public Health (2 Ill.
			 Adm. Code 1127) and the Freedom of Information Act [5 ILCS 140
			 ].
b) All requests by bonafide
			 researchers approved by the State Registrar seeking confidential vital records
			 data and/or certificates must be submitted in writing to the Division of Vital
			 Records. The request must include a study protocol that contains: objectives of
			 the research; rationale for the research, including scientific literature
			 justifying the current proposal; overall study methods, including copies of
			 forms, questionnaires, and consent forms used to contact facilities,
			 physicians, or study subjects; methods for the processing of data; storage and
			 security measures taken to insure confidentiality of the registrant and
			 parental identifying information; time frame of the study; a description of the
			 funding source of the study (e.g., federal contract); and the curriculum vitae
			 of the principal investigator and a list of collaborators. In addition, the
			 research request must specify what identifying information is needed and how
			 the information will be used.
c)
			 All requests to conduct research and all modifications to approved research
			 proposals involving the use of data and/or vital records certificates that
			 include identifying information shall be subject to a review to determine
			 compliance with the following conditions:
1)
			 the request for identifying information contains stated goals or
			 objectives;
2) the request
			 documents the feasibility of the study design in achieving the stated goals and
			 objectives;
3) the request
			 documents the need for the requested data to achieve the stated goals and
			 objectives;
4) the requested data
			 can be provided within the time frame set forth in the request;
5) the request documents that the researcher
			 has qualifications relevant to the type of research being conducted;
6) the research will not duplicate other
			 research already underway using the same data; and
7) other conditions relevant to the need for
			 the identifying information and the applicant's and parental confidentiality
			 rights because the Department will only release identifying information that is
			 necessary for the research.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.80 - Appointment and Removal of Local Registrars

Current through Register Vol. 48, No. 28, July 12, 2024
The State Registrar of Vital Records shall appoint and may
				remove for just cause local registrars.
a) Persons eligible to serve as local
			 registrars are:
1) In cities, villages, and
			 incorporated towns, the clerk of the city, village, or incorporated
			 town.
2) The township clerk in each
			 township in counties under township organization, excepting those portions of
			 the township constituting a separate registration district.
3) The road district clerk in each road
			 district in counties not under township organization, excepting those portions
			 of the road district constituting a separate registration district.
4) The health officer of any Public Health
			 Department defined as a full time Public Health Department under the rules and
			 regulations of the Department (see 77 Ill. Adm. Code 615).
5) If none of the preceding officers is
			 available to act as a local registrar, any full time public officer of county
			 or local government in the district or a hospital administrator of any licensed
			 hospital in the district which is not located within a home rule county
			 (Section 7 of the Act).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Section 500.90 - Social Security Numbers of the Mother and Father of an Infant

Current through Register Vol. 48, No. 28, July 12, 2024
a) Effective November 1, 1990, the Social
			 Security numbers of the mother and father shall be collected at the time of the
			 birth of the child. Such numbers shall not be recorded on the Certificate of
			 Live Birth. Such numbers may be used only for those purposes allowed by federal
			 law. (Section 11(d) of the Act).
b)
			 Under Section 125 of P.L. 100-485, states must collect the social security
			 numbers of all parents of newborn infants, unless the state finds good cause
			 for not requiring the number exists. "Good cause" for these purposes shall be
			 limited to the following situations:
1)
			 Father unknown.
2) The child was
			 conceived as a result of sexual relations within families, criminal sexual
			 assault or criminal sexual abuse.
3) Parents/parent intends to release the
			 child for adoption or legal proceedings for the adoption of the child are
			 pending before a court of competent jurisdiction.
4) Parents known, but one or both do not have
			 social security numbers.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix A - Birth Records › ILLUSTRATION C - Record of a Foreign Birth

Current through Register Vol. 48, No. 28, July 12, 2024
STATE OF ILLINOIS
RECORD OF A FOREIGN
							 BIRTH
(ORIGINAL)
STATE FILE NO.
Z -
1. PLACE OF BIRTH:
(CITY)
(COUNTRY)
2. NAME OF CHILD:
3. DATE OF BIRTH:
(MONTH)
(DAY)
(YEAR)
4. SEX
5. FATHER'S FULL NAME:
6. FATHER'S
BIRTH DATE:
(MONTH)
(DAY)
(YEAR)
7. FATHER'S
BIRTHPLACE:
(CITY OR COUNTY)
(STATE OR COUNTRY)
8. MOTHER'S MAIDEN NAME:
9. MOTHER'S
BIRTH DATE:
(MONTH)
(DAY)
(YEAR)
10. MOTHER'S
BIRTHPLACE:
(CITY OR COUNTY)
(STATE OR COUNTRY)
OFFICE OF VITAL RECORDS - ILLINOIS
							 DEPARTMENT OF PUBLIC HEALTH - SPRINGFIELD 62761
I HEREBY CERTIFY
that this
							 record is the original certificate of birth as established under the provisions
							 of the Illinois Vital Records Act.
Date Filed
State Registrar
Springfield, Illinois
By _______________________
Deputy State Registrar
KIND OF DOCUMENT AND DATE MADE
BIRTH FACTS ESTABLISHED
VR-162Z (8/71r)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix A - Birth Records › ILLUSTRATION D - Certificate of Birth - Foundling Child

Current through Register Vol. 48, No. 28, July 12, 2024
STATE OF ILLINOIS
CERTIFICATE OF BIRTH - FOUNDLING
				  CHILD
File No. ______________________
NAME GIVEN CHILD
BY CUSTODIAN:
PLACE CHILD
WAS FOUND:
(CITY, VILLAGE, TOWNSHIP OR ROAD
							 DISTRICT)
(COUNTY)
DATE CHILD
WAS FOUND:
(MONTH)
(DAY)
(YEAR)
SEX
RACE
APPROXIMATED AGE:
NAME OF CUSTODIAN:
(PERSON OR INSTITUTION)
MAILING ADDRESS OF CUSTODIAN:
CHILD FOUND
BY:
MAILING ADDRESS OF FINDER:
REPORTED TO REGISTRAR ON:
(SIGNED)
LOCAL REGISTRAR
ILLINOIS DEPARTMENT OF PUBLIC HEALTH -
				  DIVISION OF VITAL RECORDS
VR 102 (2/79)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix A - Birth Records › ILLUSTRATION E - Application for Search of Birth Record Files

Current through Register Vol. 48, No. 28, July 12, 2024
APPLICATION FOR SEARCH OF BIRTH RECORD
							 FILES
The fee for a search of the files is $10.00. If the
							 record is found one CERTIFICATION or BIRTH CARD is issued at no additional
							 charge. Additional certifications or birth cards of the same record ordered at
							 the same time are $2.00 each. The fee for a FULL CERTIFIED COPY is $15.00.
							 Additional certified copies of the same record ordered at the same time are
							 $2.00 each. Please indicate below the type and number of copies requested and
							 return this form with the proper fee. DO NOT SEND CASH. Make check or money
							 order payable to: Illinois Department of Public Health.
CERTIFIED COPY
CERTIFICATION
BIRTH CARD (wallet size)
$15.00 Each
$10.00 Each
$10.00 Each
Amount Enclosed:
$
____
Amount Enclosed:
$
__________
Amount Enclosed:
$
________________
for
____
copies
for
____
copies
for
____
copies
First
Middle
Last
FULL
NAME:
PLACE OF
BIRTH:
Street, RFD., Hosp.
City or Town
County
DATE OF BIRTH:
Month
Day
Year
SEX:
BIRTH NUMBER IF KNOWN:
FATHER:
MOTHER:
Maiden Name
Married Name
Application Made By:
Mail Copy to (if other than
							 applicant):
NAME:
NAME:
(written signature)
STREET
STREET
ADDRESS:
ADDRESS:
CITY:
STATE:
ZIP
CITY
STATE:
ZIP
YOUR RELATIONSHIP
TO PERSON:
INTENDED USE OF
DOCUMENT:
Birth certificates are confidential records, and copies can
				  be issued only to persons entitled to receive them. The application must
				  indicate the requestor's relationship to the person and the intended use of the
				  document.
VR. 180 (5/87R)-
DIVISION OF VITAL RECORDS-605 WEST JEFFERSON
							 STREET-ILLINOIS DEPARTMENT OF PUBLIC HEALTH, SPRINGFIELD, ILLINOIS
							 62702
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix A - Birth Records › ILLUSTRATION F - Application for Correction of a Birth Certificate

Current through Register Vol. 48, No. 28, July 12, 2024
APPLICATION FOR CORRECTION OF A BIRTH
				  CERTIFICATE
MAIL TO:
Illinois Department of Public Health
Office of Vital Records
605 West Jefferson
Springfield, Illinois 62761
I wish to have errors corrected on the birth certificate
				  identified as follows:
FULL NAME
OF CHILD:
____________________________________________________
PLACE
OF BIRTH:
______________________________________________________
HOSPITAL
COUNTY
CITY, VILLAGE, TOWNSHIP
DATE
REGISTERED
STATE FILE
OF BIRTH:
__________________
NUMBER
_______
NUMBER
_______
MONTH
DAY
YEAR
MOTHER'S
MAIDEN NAME:
______________________________________________________
FATHER'S NAME AS
LISTED ON BIRTH RECORD:
______________________________________________________
Please give us the INCORRECT and CORRECT information
							 below:
INCORRECT INFORMATION
CORRECT INFORMATION
SHOULD READ
_______________________________________________________________________
PRINT
PRINT
SHOULD READ
_______________________________________________________________________
PRINT
PRINT
SHOULD READ
_______________________________________________________________________
PRINT
PRINT
SHOULD READ
_______________________________________________________________________
PRINT
PRINT
SHOULD READ
_______________________________________________________________________
PRINT
PRINT
ADDITIONAL COMMENTS:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Please mail correction forms to:
WRITTEN SIGNATURE:
____________________________
ADDRESS: __________________
__________________
DATE:
__________________
MY RELATIONSHIP TO CHILD:
___________________
VR -
				  401.1 REV.
				  6/75
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix B - Delayed irth Records › ILLUSTRATION D - Application for Delayed Record of Birth

Current through Register Vol. 48, No. 28, July 12, 2024
APPLICATION FOR DELAYED RECORD OF
							 BIRTH
Full Name
of Child
_________________________________________________________________
Date
Time of Birth
Sex of Child
of Birth
_________________________________________________________________
Place
of Birth
_________________________________________________________________
Hospital
County
City, Village, Township
If not born in hospital, give complete address where
							 child was born
Mother's
Maiden Name
_______________________________________________________________
Mother's
Mother's Place of Birth
Date of Birth
_______________________________________________________________
Mother's complete mailing
address at time of child's birth
__________________________________________________
Street & number or R.F.D.
_________________________________________________
City or Town
State
Zip
Mother's residence at
time of child's birth
_________________________________________________________
Street & number
City or Town
Yes/No
							 ___________________________________________________
Inside City
County
State
Father's
Full Name
________________________________________________________________
Father's
Father's
Date of Birth
_____________________
Place of Birth
_____________________
Was mother married at the time of conception, birth
							 or anytime between conception and birth? If yes, date of parent's
							 marriage
______________________________________________________________________
List below all
OTHER
children of this mother
who were born BEFORE this child was
							 born
.
DO NOT COUNT THIS CHILD
(a)
Number
(b)
Number BORN alive
(c)
Number
still living
__________
but now dead
_______
born dead
______
Written Signature
____________________________
Address
_______________________________________________
_______________________________________________
My Relationship to Child
_______________________________________________
8631A
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix C - Marriage Application and Record

Current through Register Vol. 48, No. 28, July 12, 2024
Click here to view
				image
AFFIDAVIT OF CONSENT OF PARENT OR GUARDIAN
				FOR MARRIAGE OF MINOR
STATE OF ILLINOIS
SS.
COUNTY______________________
______________________________ AND
				______________________________
BEING DULY SWORN, DEPOSES AND SAYS THAT THEY ARE THE PARENTS OR
				GUARDIAN OF_______________________, A MINOR, AND GIVE THEIR CONSENT TO THE
				MARRIAGE OF SAID MINOR TO___________________________________, AND AFFIANTS
				FURTHER SAY THAT THE SAID MINOR WAS BORN__________________, 19____.
SIGNATURE OF FATHER OR GUARDIAN
___________________
SIGNATURE OF MOTHER OR GUARDIAN
___________________
SUBSCRIBED AND SWORN TO BEFORE ME THIS ______ DAY OF
				____________________________, 19______.
_________________________________________
SIGNATURE OF COUNTY CLERK OR
						  NOTARY
_____________________________________________________________
STATE OF ILLINOIS
SS.
COUNTY______________________
____________________________ AND
				_______________________________
BEING DULY SWORN, DEPOSES AND SAYS THAT THEY ARE THE PARENTS OR
				GUARDIAN OF_______________________, A MINOR, AND GIVE THEIR CONSENT TO THE
				MARRIAGE OF SAID MINOR TO_________________________________, AND AFFIANTS
				FURTHER SAY THAT THE SAID MINOR WAS BORN__________________, 19____.
SIGNATURE OF FATHER OR GUARDIAN
___________________
SIGNATURE OF MOTHER OR GUARDIAN
___________________
SUBSCRIBED AND SWORN TO BEFORE ME THIS ______ DAY OF
				____________________________, 19______.
_________________________________________
SIGNATURE OF COUNTY CLERK OR
						  NOTARY
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix E - Adoption Records › ILLUSTRATION B - Information Concerning Adoptive Parents

Current through Register Vol. 48, No. 28, July 12, 2024
DEPARTMENT OF PUBLIC
				  HEALTH
DIVISION OF VITAL RECORDS
605 W. JEFFERSON ST.
SPRINGFIELD, IL 62702-5097
RE: ADOPTION OF (
Child's name by
				  adoption
):
_______________________________________________________________
_______________________________________________________________
INFORMATION CONCERNING ADOPTIVE
				  PARENTS
(Information should be given as existed when
				  child was born)
ADOPTIVE FATHER
ADOPTIVE MOTHER
Full
Name
_____________________
Full
Maiden Name
_____________________
Residence at the time this child was born
(
if rural, give township or road
							 district
)
Residence at the time this child was born
(
if rural, give township or road
							 district
)
____________________________
______________________________
Street
Street
___________________________
______________________________
City or Place&State
							 or Country
City or Place&State
							 or Country
Color or Race
_____________________
Color or Race
_____________________
Date of Birth
_____________________
Date of Birth
_____________________
Place of Birth
_____________________
Place of Birth
_____________________
Social Security #
__________________
Social Security #
__________________
Occupation (
at time this child was
							 born
)
Occupation (
at time this child was
							 born
)
_____________________________
_______________________________
List below all
OTHER
children of this mother
who were born BEFORE this child was born
, counting children
BORN
to her and other children
ADOPTED
by her. DO NOT
				  COUNT THIS CHILD.
(a) Number still living ___ (b) Number BORN alive but now
				  dead ___ (c) Number born dead ___
________________________________________
(
signature of one adoptive
							 parent
)
Date:
___________________________
VR 168 (3/91)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix E - Adoption Records › ILLUSTRATION C - Information Concerning Parents

Current through Register Vol. 48, No. 28, July 12, 2024
Division of Vital Records
605 W. Jefferson St.
Springfield, IL 62702
FULL NAME OF CHILD
_______________________
_______________________
INFORMATION CONCERNING
				  PARENTS
FATHER
MOTHER
Full
Name
_______________________
Full
Maiden Name
_______________________
Residence at the time this child was born
Residence at the time this child was born
(if rural, give township or road district)
(if rural, give township or road district)
_________________________
___________________________
Street
Street
_________________________
___________________________
City or Place
&
State or country
City or Place
&
State or country
Color or race
_______________________
Color or race
__________________________
Date of birth
________________________
Date of birth
__________________________
Place of birth
_______________________
Place of birth
_______________________
Occupation (at time this child was born)
Occupation (at time this child was born)
__________________________
_____________________________
List below all
OTHER
children of
				  this mother
who were born BEFORE this child was
				  born
.
DO NOT COUNT THIS CHILD
.
(a) Number
__________
(b) Number BORN alive
__________
(c) Number
__________
still living
__________
but now dead
__________
born dead
__________
SIGNATURE:
______________________
DATE:
_______________________
VR168.1 (2/88)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix E - Adoption Records › ILLUSTRATION D - Instructions for Adoption Registry Forms

Current through Register Vol. 48, No. 28, July 12, 2024
INSTRUCTIONS FOR ADOPTION REGISTRY
				  FORMS
1. Type or print
				all known information on the Adoption Registry forms. Enter the date, sign your
				present legal name, and please print or type your name below your
				signature.
2. If you wish to be
				contacted by a pertinent registered party, complete the Information Exchange
				Authorization form and sign it.
3.
				If you have submitted a Registration Identification form but do not wish to be
				contacted by the pertinent registered party, complete the Denial of Information
				Exchange form and sign it.
4. Send
				the completed Registration Identification form, Adoption Registry Application,
				Information Exchange Authorization, and or Denial forms, and copy of proof of
				identification (driver's license, state or federal identification card,
				passport, or other government-issued identification card with a photograph, but
				not a firearm owner's identification card) to:
Illinois Department of Public Health
Division of Vital Records
Adoption Registry
605 West Jefferson Street
Springfield, Illinois 62702
5. Enclose a certified check or money order
				for $40 made payable to the Illinois Department of Public Health Adoption
				Registry. This fee is not required, however, (i) for all adopted or surrendered
				persons, adoptive parents, legal guardians, birth parents, and birth siblings
				who complete a Medical Questionnaire at the time of registration and authorize
				its release to specified registered parties, (ii) for adoptive parents
				registering within 12 months after the finalization of the adoption, and (iii)
				for the update, withdrawl, or revocation of a form.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix E - Adoption Records › ILLUSTRATION E - Birth Parent Registration Identification Form

Current through Register Vol. 48, No. 28, July 12, 2024
Click here to view
				  image
______________________________
(signature of birth parent)
______________________________
__________________________________
(date)
(printed or typed name of birth
							 parent)
Illinois Department of Public Health, Division of Vital
				  Records, 605 W. Jefferson St., Springfield, IL 62702-5097
VR 161.1
				  (rev.01/2000)Printed by Authority of the
				  State of Illinois P.O. # 30M 02/00
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix E - Adoption Records › ILLUSTRATION G - Adopted Person Registration Identification Form

Current through Register Vol. 48, No. 28, July 12, 2024
Click here to view
				  image
________________________________
(signature of adopted person)
______________________________
(date)
______________________________
(printed or typed name of adopted
							 person)
Illinois Department of Public Health, Division of Vital
				  Records, 605 W. Jefferson St., Springfield, IL 62702-5097.
VR 161.2 (rev. 05/2000)Printed by
				  Authority of the State of Illinois P.O. # 30M O2/00
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 500 - ILLINOIS VITAL RECORDS CODE › Appendix E - Adoption Records › ILLUSTRATION H - Information Exchange Authorization Form

Current through Register Vol. 48, No. 28, July 12, 2024
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				  image
I, a Notary Public, in and for the said county, in the state
				  aforesaid, do hereby certify that _______________ personally known to me to be
				  the same person whose name is subscribed to the foregoing Information Exchange
				  Authorization, appeared before me in person and acknowledged that he/she signed
				  such authorization as his/her free and voluntary act and that the statements in
				  such authorization are true.
Given under my hand and notarial seal on
_________________
,
___________
(insert date)
_________________________
SIGNATURE OF NOTARY
Illinois Department of Public Health, Division of
							 Vital Records, 605 W. Jefferson St., Springfield, IL 62702-5097
VR 161.7 (rev. 05/2000)
Printed by Authority of the State of Illinois P.O.#
							 30M 02/00