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Hospital or medical facility where the person named on the birth certificate was born. How Do I Make a Correction? ☐ Complete and sign this application. See pages 4 and 5. ☐ Section 1, 2, 5 and 6 MUST be completed. See pages 2 and 3 for how to complete Section 3 or 4. ☐ Everyone signing section 6 must sign before a notary public and ATTACH A COPY OF THEIR VALID PHOTO ID(S). ☐ The application must be original. Photocopies, alterations, strike-through, or write overs will not be accepted. ☐...

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