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CORRECTION of BIRTH RECORD Application Warren County Form
Record or sworn statement of midwife or attendant 3. Signature of Affiant SUGGESTED DOCUMENTS THAT WILL SUPPORT THE DATE AND PLACE OF BIRTH AND PARENTAGE AND WHERE THEY MAY BE OBTAINED 1. Your signature must be notarized. The fee to process an application for correction of birth records is 23. Registrant of Applicant Address Sworn to before me and signed in my presence by the applicant or registrant aforesaid thisday of20. Child s Information Full Name of Child Date of Birth Place of Birth city...
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