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1st Birth Certificate Template :
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Blank Birth Certificate Form
In cities, the certificate of birth must be filed sooner than 10 days after the birth if so required by municipal ordinance or regulation. If the mother was unmarried at the time of birth, the name of the other parent may be entered on the original certificate of birth only if:. If both parents execute a declaration consenting to the use of the surname of one parent as the surname of the child, the name of that parent must be entered on the original certificate of birth and the surname of that parent must be entered thereon as the surname of the child.
The order or declaration must then be delivered to the State Registrar for filing. The local health officer shall complete the original certificate of birth in accordance with subsection 6 and other provisions of this chapter. Subject to the provisions of subsection 3, the State Registrar of Vital Statistics and the entities described in paragraph b of subsection 1 shall offer to provide services relating to the voluntary acknowledgment of paternity in the manner prescribed in the regulations adopted by the Secretary of Health and Human Services pursuant to 42 U. Before providing a declaration for the acknowledgment of paternity to the mother of a child or a person who wishes to acknowledge the paternity of the child, the agencies described in paragraph b of subsection 1 shall ensure that the mother and the person who wishes to acknowledge paternity are given notice, orally and in writing, of the rights, responsibilities and legal consequences of, and the alternatives to, signing the declaration for the acknowledgment of paternity.
Added to NRS by , ; A , Before providing a declaration for the acknowledgment of parentage to the mother of a child or a person who wishes to acknowledge the parentage of a child, the agencies described in paragraph b of subsection 1 shall ensure that the mother and the person who wishes to acknowledge parentage are given notice, orally and in writing, of the rights, responsibilities and legal consequences of, and the alternatives to, signing the declaration for the acknowledgment of parentage. If a mother or a person who has signed a declaration for the voluntary acknowledgment of paternity developed by the Board pursuant to NRS The form of the birth certificate to be used under this chapter shall include as a minimum the items required by the standard certificate of live birth as recommended by the United States Public Health Service, but no certificate to be used under this chapter shall include any notation of legitimacy or illegitimacy.
The entry of the name of the father of a child or of the surname of the father as the surname of the child on the certificate of birth pursuant to NRS When any certificate of birth of a living child is presented without the statement of the given name, the local health officer, the local registrar or the State Registrar shall make out and deliver to the parents of the child a special blank for the supplemental report of the given name of the child, which shall be filled out as directed and returned to the State Registrar as soon as the child shall have been named.
The Board shall prescribe by regulation the time within which a supplementary report furnishing information omitted on the original certificate may be returned for the purpose of completing the original certificate. A person whose birth certificate or other evidence of birth is written in a language other than English, or the parent or guardian of the person, may apply to the State Registrar for a birth certificate in the English language.
Application for a birth certificate pursuant to this section must be made in writing on a form supplied by the State Registrar and be accompanied by:. IN THE Upon request of a person or his or her parent, guardian or legal representative, and after receipt of a certified copy of an order of the court changing the name of such person, whether such order was entered prior or subsequent to July 1, , the State Registrar shall indicate the change of name on the certificate of birth of such person. Whenever the State Registrar receives a certified report of adoption or amendment of adoption filed in accordance with the provisions of NRS Sealed documents may be opened only upon an order of the court issuing the adoption decree, expressly so permitting, pursuant to a petition setting forth the reasons therefor.
Except as otherwise provided in subsection 2, upon the receipt of a certified copy of a court order of annulment of adoption, the State Registrar shall seal and file the order and supplementary certificate of birth and, if the person was born in Nevada, restore the original certificate to its original place in the files.
Any person, or any parent or guardian, of a child with respect to whom a certificate of birth has been issued by this state indicating the illegitimacy of the person or child may apply to the State Registrar for a new certificate which does not contain any notation of illegitimacy, and upon such application the State Registrar shall issue such a certificate. Whenever the State Registrar receives an order issued by a district court in this State pursuant to subsection 4 of NRS Unless the court order is issued by a district court in this State for an action which was originally commenced in this State, a court order concerning a gestational agreement is not valid for any purpose in this State as it relates to a child born in this State, including, without limitation, the preparation and filing of a certificate of birth by the State Registrar.
In the case of the paternity or parentage of a child being established by the:. The new certificate must be identical with the certificate registered for the birth of a child born in wedlock.
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Except as otherwise provided in subsection 4, the evidence upon which the new certificate was made and the original certificate must be sealed and filed and may be opened only upon the order of a court of competent jurisdiction. The State Registrar shall, upon the request of the Division of Welfare and Supportive Services of the Department of Health and Human Services, open a file that has been sealed pursuant to subsection 3 to allow the Division to compare the information contained in the declaration or order upon which the new certificate was made with the information maintained pursuant to 42 U.
Added to NRS by , ; A , ; , ; , ; , The State Registrar shall not, without a court order to do so, issue to any person or governmental entity an original or copy of the certificate of birth of a child who is listed as missing in the bulletin prepared by the Director of the Clearinghouse for information concerning missing or exploited children pursuant to NRS The State Registrar shall inform the Director of the Clearinghouse of the name and identifying information, dates and circumstances of any person or governmental entity requesting the certificate of birth of such a child without a court order and any other information which might be helpful in furthering the purposes of NRS Whoever assumes the custody of a living child of unknown parentage shall immediately report, on a form to be approved by the Board, to the local registrar of the registration district in which such custody is assumed, the following:.
The place where the child was found or where custody has been assumed shall be known as the place of birth, and the date of birth shall be determined by approximation. The foundling report shall constitute the certificate of birth for such foundling child, and the provisions of this chapter relating to certificates of birth shall apply in the same manner and with the same effect to such report. If a foundling child shall later be identified and a regular certificate of birth be found or obtained, the report constituting the certificate of birth shall be sealed and filed and may be opened only upon the order of a court of competent jurisdiction.
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Stillborn children or those dead at birth shall be registered as a stillbirth and a certificate of stillbirth shall be filed with the local health officer in the usual form and manner. The medical certificate of the cause of death shall be signed by the attending physician or attending advanced practice registered nurse, if any. Midwives shall not sign certificates of stillbirth for stillborn children; but such cases, and stillbirths occurring without attendance of either physician, advanced practice registered nurse or midwife, shall be treated as deaths without medical attention as provided for in this chapter.
The certificate of death or of stillbirth that shall be used is the standard form approved by the United States Public Health Service. The personal and statistical particulars of the death or stillbirth certificate shall be authenticated by the name of the informant, who may be any competent person acquainted with the facts. The statement of facts relating to the disposition of the body must be signed by the funeral director or person acting as undertaker or by an authorized representative of the crematory if the body is cremated.
The person who signs the medical certificate of death shall specify:. In deaths in hospitals or institutions, or of nonresidents, the physician or advanced practice registered nurse shall furnish the information required under this section, and may state where, in his or her opinion, the disease was contracted. The certificate of stillbirth must be presented by the funeral director or person acting as undertaker to the physician or advanced practice registered nurse in attendance at the stillbirth, for the certificate of the fact of stillbirth and the medical data pertaining to stillbirth as the physician or advanced practice registered nurse can furnish them in his or her professional capacity.
Indefinite and unsatisfactory terms, indicating only symptoms of disease or conditions resulting from disease, will not be held sufficient for issuing a burial or removal permit. Any certificate containing only such terms as defined by the State Board of Health shall be returned to the physician or advanced practice registered nurse for correction and more definite statement. Causes of death, which may be the result of either disease or violence, shall be carefully defined; and if from violence, the means of injury shall be stated, and whether probably accidental, suicidal or homicidal.
A physician who anticipates the death of a patient because of an illness, infirmity or disease may authorize a specific registered nurse or physician assistant or the registered nurses or physician assistants employed by a medical facility or program for hospice care to make a pronouncement of death if they attend the death of the patient. An advanced practice registered nurse who anticipates the death of a patient because of an illness, infirmity or disease may authorize a specific registered nurse or the registered nurses employed by a medical facility or program for hospice care to make a pronouncement of death if they attend the death of the patient.
Such an authorization is valid for days. Except as otherwise provided in subsection 3, the authorization must:. If the patient is in a medical facility or under the care of a program for hospice care, the physician may authorize the registered nurses or physician assistants employed by the facility or program, or an advanced practice registered nurse may authorize such a registered nurse, to make pronouncements of death without specifying the name of each nurse or physician assistant, as applicable.
If a pronouncement of death is made by a registered nurse or physician assistant, the physician or advanced practice registered nurse who authorized that action shall sign the medical certificate of death within 24 hours after being presented with the certificate.
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If a patient in a medical facility is pronounced dead by a registered nurse or physician assistant employed by the facility, the registered nurse or physician assistant may release the body of the patient to a licensed funeral director pending the completion of the medical certificate of death by the attending physician or attending advanced practice registered nurse if the physician, advanced practice registered nurse or the medical director or chief of the medical staff of the facility has authorized the release in writing. The Board may adopt regulations concerning the authorization of a registered nurse or physician assistant to make pronouncements of death.
Where there is no qualified physician or advanced practice registered nurse in attendance, and in such cases only, the local health officer is authorized to make the certificate and return from the statements of relatives or other persons having adequate knowledge of the facts. If the death was caused by unlawful or suspicious means, the local health officer shall then refer the case to the coroner for investigation and certification. The local health officer shall then refer the case to the coroner for investigation and certification.
In either case, the coroner shall furnish such information as may be required by the Board in order to classify the death properly. When an autopsy is performed upon the body of a minor, the person who orders the autopsy shall make a diligent effort to give the parents or guardian of the minor notice of the autopsy in person, by telephone or by mail. The internal organs must, if feasible, be kept with the body after such an autopsy is completed. The board of county commissioners of any county may provide by ordinance that in all cases where the cause or suspected cause of a death is sudden infant death syndrome, the coroner may take possession of the body, exhuming the body if necessary, and authorize the performance of a postmortem examination thereon.
Such examination may include an analysis of the stomach, stomach contents, blood, organs, fluids or tissues of the body. The coroner shall file a copy of such report with the State Registrar. The State Registrar shall annually publish a report specifying the number of postmortem examinations performed, pursuant to NRS Such report shall also specify the number of such cases in which the cause of death was determined by the coroner to be sudden infant death syndrome. In any case of a death occurring to anyone whose identity is unknown, before burying the body the funeral director shall annex to the certificate of death a certificate from the sheriff that the sheriff has on file in his or her office the fingerprints of the body.
Sheriffs of the respective counties shall maintain in their respective offices a file known as the unidentified deceased persons file. Sheriffs shall, without further compensation, see that such fingerprints are obtained as provided in this section and placed in the file as a public record. The funeral director or person acting as undertaker is responsible for obtaining and filing the certificate of death with the local health officer, or his or her deputy, in the registration district in which the death occurred, and for securing a burial or removal permit prior to any disposition of the body.
The funeral director or person acting as undertaker shall obtain the personal and statistical particulars required from the person best qualified to supply them, over the signature and address of his or her informant. The funeral director or person acting as undertaker shall present the certificate to the attending physician or attending advanced practice registered nurse, if any, or to the health officer or coroner, for the medical certificate of the cause of death and other particulars necessary to complete the record unless the attending physician or attending advanced practice registered nurse initiated the record of death and provided the required information at the time of death.
The funeral director or person acting as undertaker shall state the facts required relative to the date and place of burial over his or her signature and with his or her address. The funeral director or person acting as undertaker shall present the completed certificate of death to the local registrar within 72 hours after the occurrence or discovery of the death. If a case is referred to the coroner, he or she shall present a completed certificate to the local registrar upon disposition of the investigation.
Upon presentation of a completed certificate of death, the county health officer shall send a certified copy of the certificate of death or a certified list of any person who, at the time of death was 17 years of age or older, to the county clerk or registrar of voters of the county where the deceased person resided. Each certified list must contain the social security numbers of the persons whose names are included on the list.
Except as provided in subsections 2 and 3, if a certificate of death is properly executed and complete, the local health officer shall then issue a burial or removal permit to the funeral director. The permit must indicate the name of the cemetery, mausoleum, columbarium or other place of burial where the human remains will be interred, inurned or buried.
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In case the death occurred from some disease that is held by the Board to be infectious, contagious, or communicable and dangerous to the public health, no permit for the removal or other disposition of the body may be granted by the local health officer except under such conditions as may be prescribed by the Board. The Board may by regulation provide for the issuance of the burial transit permit prior to the filing of the completed death certificate if that requirement would result in undue hardship.