Virginia Administrative Code › Title 12 - HEALTH › Agency 5 - DEPARTMENT OF HEALTH › Chapter 550 - BOARD OF HEALTH REGULATIONS GOVERNING VITAL RECORDS › Part III - Data Required on Vital Statistics Certificates › Section 12VAC5-550-100 - Birth certificate items

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Certificate of Live Birth, Commonwealth of Virginia, for registrations at time
				  of birth, shall contain the following items: child's full name; place of birth;
				  usual residence of mother; sex of child; single or plural birth, and birth
				  order of plural birth; date of birth; full name of father (except when mother
				  is not married to the father); age of father (except when mother is not married
				  to the father); birthplace of father (except when mother is not married to the
				  father); full maiden name of mother; age of mother; birthplace of mother;
				  certification of parent (if available); certification of attendant at the
				  birth, including title, address and date signed; date the certificate was
				  received by the registrar; registrar's signature; registration area and
				  certificate numbers; state birth number; and supplemental confidential data to
				  consist of the following items: medical record and social security numbers of
				  the mother; medical record number of the child; hispanic origin, if any, and
				  race of mother; education of mother; mother transferred prior to delivery;
				  hispanic origin, if any, and race of father (except when mother is not married
				  to the father); social security numbers of the father; education of father
				  (except when mother is not married to the father); pregnancy history of mother,
				  including date of last live birth and date of last other termination of
				  pregnancy; date of last normal menses and physician's or midwife's estimate of
				  gestation; month of pregnancy prenatal care began; source of prenatal care;
				  number of prenatal visits; birthweight of child in grams; mother married to
				  father of child; Apgar score of child at one minute and five minutes; obstetric
				  procedures and method of delivery; newborn conditions and congenital
				  malformations or anomalies of child, if any; infant transferred; medical
				  history for this pregnancy; other history for this pregnancy; events of labor
				  and delivery, and an optional item for the parent to request the State
				  Registrar to report the birth to the Social Security Administration for account
				  number issuance.
B. Delayed
				  Certificate of Birth, Commonwealth of Virginia, for delayed registrations of
				  birth, shall contain the following items: full name at time of birth; sex;
				  place of birth; date of birth; name of father (except when mother was not
				  married to father at the time of birth or during the 10 months next preceding
				  the birth); race of father (except when mother was not married to the father);
				  birthplace of father (except when mother was not married to the father); full
				  maiden name of mother; race of mother; birthplace of mother; certification and
				  signature of applicant; address of applicant; relationship of applicant to
				  registrant; statement and signature of notary public (or other official
				  authorized to administer oaths); description of documentary evidence submitted;
				  certification and authorized signature of the State Registrar; date certificate
				  filed by the State Registrar; and number of certificate.
C. Certificate of Live Home Birth,
				  Commonwealth of Virginia, is required to be registered within 30 days after
				  time of birth and shall be registered with the local health department in which
				  the birth occurred. The local registrar or the deputy registrar shall forward
				  such registration of Live Home Birth filed within 30 days to the State
				  Registrar. The Certificate of Live Home Birth, Commonwealth of Virginia, for
				  registrations at time of birth, shall contain the following items: child's full
				  name; place of birth; usual residence of mother; sex of child; single or plural
				  birth and birth order of plural birth; date of birth; full name of father
				  (except when the mother is not married to the father); age of father (except
				  when the mother is not married to the father); birthplace of father (except
				  when the mother is not married to the father); full maiden name of mother; age
				  of mother; birthplace of mother; certification of parent (if available);
				  certification of attendant at birth, including title, address, and date signed;
				  date the certificate was received by the registrar; registrar's signature;
				  registration area and certificate numbers; state birth number; and supplemental
				  confidential data to consist of the following items: medical record and social
				  security numbers of the mother; hispanic origin, if any, and race of mother;
				  education of mother; mother transferred prior to delivery; hispanic origin, if
				  any, and race of father (except when mother is not married to the father);
				  social security number of the father; education of father (except when mother
				  is not married to the father); pregnancy history of the mother, including date
				  of last live birth and date of last other termination of pregnancy; date of
				  last normal menses and physician's or midwife's estimate of gestation; month of
				  pregnancy prenatal care began; source of prenatal care; number of prenatal
				  visits; birth weight of child in grams; mother married to father of child;
				  Apgar score of child at one minute and five minutes; obstetric procedures and
				  method of delivery; newborn conditions and congenital malformations or
				  anomalies of child, if any, infant transferred; medical history of this
				  pregnancy; other history of this pregnancy; events of labor and delivery and an
				  optional item for the parent to request the State Registrar to report the birth
				  to the Social Security Administration for account number issuance. If the
				  Certificate of Live Home Birth is not filed at the time of birth or within 30
				  days, supporting documents to establish a registration may be required and
				  shall be as follows:
1. Evidence of
				  pregnancy, such as but not limited to:
a.
				  Prenatal record;
b. A statement
				  from a physician or other health care provider qualified to determine
				  pregnancy;
c. A home visit by a
				  public health nurse or other health care provider; or
d. Other evidence acceptable to the State
				  Registrar.