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The following is a message from Erin Doucas, perinatal data coordinator at Bassett Medical Center:
During your stay in the hospital after your baby is born, you will receive a five page birth certificate work booklet to fill in before going home.
The information needed to complete the booklet:
Mother's section: First name, middle name, current last name and last name on mother's birth certificate, Social Security number, date of birth, highest level of education, city and state of birth, race, residence address and if different mailing address and employment.
Baby's section: First, middle and last name. A signed Social Security page. Check yes if you want baby's Social Security card mailed to you. Check no if you wish to apply on your own. A Social Security card can only be obtained through the hospital if baby has a first and last name. You can give your baby any name you want. This includes last name as well. Inappropriate names, numbers or symbols cannot be accepted. Numbers can be used if spelled out (example: "7" - seven) or a suffix 1st, 2nd, III.
Father of second parent section: His or her first name, middle name, current last name and last name on parent's birth certificate, Social Security number, date of birth, highest level of education, residence address, employment.
Will mother and father be signing Acknowledgement of Paternity? If mother and father or second parent is legally married to each other:
If mother and father are not married:
What it means to sign paternity:
You may not sign paternity if:
For questions about birth certificates, Acknowledgement of Paternity, DNA testing, please call me direct at 607-547-3254 or 1-800-BASSETT and ask to be transferred to extension 3254. [sic]
- Erin Doucas, perinatal data coordinator at Bassett Medical Center
Learn more: FAQs about paternity
Learn more: NYS Department of Health Paternity Form
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