Ohio Administrative Code|Rule 3701-5-02 | Forms used in the system of vital statistics.

                                                
(A) The following forms, as set forth in
		  the designated appendices to this rule, are prescribed for use in the system of
		  vital statistics. Notwithstanding the requirement that the forms set forth
		  below be used in the system of vital statistics, a mother's name and
		  address and a father's name are not required to be entered on a fetal
		  death report:
(1) Certificate of live
			 birth (appendix A);
(2) Certificate of death
			 (appendix B);
(3) Report of fetal death
			 (appendix C);
(4) Affidavit correction
			 of birth record (appendix D);
(5) Supplementary medical
			 certification (appendix E);
(6) Certificate of
			 service (appendix F);
(7) Burial-transit permit
			 (appendix G);
(8) Certificate of
			 adoption (appendix H);
(9) Affidavit requesting
			 new birth certificate for adopted child (appendix I);
(10) Certified abstract
			 of marriage (appendix J);
(11) Certified abstract
			 of divorce, annulment, or dissolution (appendix K);
(12) Determination of
			 paternity (appendix L);
(13) Affidavit to correct
			 a death certificate or fetal death report (appendix M);
(14) Application,
			 finding, and order for correction of birth record (appendix N);
(15) Certification of
			 birth record (recreation of birth facts) (appendix O);
(16) Finding and order
			 establishing registration of birth (appendix P);
(17) Application,
			 finding, and order for registration (appendix Q);
(18) Affidavit for
			 adopted person requesting information for adoption file (appendix
			 R);
(19) Medical birth information request
			 (appendix S);
(20) Application for certified copy of
			 birth or death certificate or paternity affidavit (appendix T);
(21) Application for certificate of public
			 record (appendix U);
(22) Denial of release for biological
			 parent (appendix V); 
(23) Authorization for release form for
			 biological parent (appendix W);
(24) Authorization of release of adopted
			 name (appendix X);
(25) Rescission of authorization of
			 release of adopted name (appendix Y);
(26) Certification of
			 birth (appendix Z); and
(27) Certification of birth for a
			 stillborn (appendix AA).
(B) To be registered, each vital record
		  that is required to be filed under Chapter 3705. of the Revised Code shall
		  comply with all of the following requirements, except as otherwise provided in
		  that chapter:
(1) The record shall be
			 prepared in a form approved or prescribed and distributed by the
			 director;
(2) The record shall be
			 prepared and completed in accordance with the written instructions prescribed
			 and distributed by the director;
(3) The record shall
			 contain all items of information requested thereon. If any such items are
			 omitted, the person responsible for completion of the record shall
			 satisfactorily account for their omission; and
(4) The record shall
			 contain, in type or legible print, the certifier's name.
(C) All forms, certificates, and reports
		  used in the system of vital statistics are the property of the Ohio department
		  of health and shall be surrendered to the state registrar upon demand. The
		  forms prescribed and distributed by the director for reporting vital statistics
		  shall be used only for official purposes. Only those forms furnished or
		  approved by the director shall be used in the reporting of vital statistics or
		  in making copies thereof.

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Last updated November 2, 2021 at 4:24 PM