AGENCY: Davis County (Utah). Health Department. Administration Division

SERIES: 10642
TITLE: Verification of birth and relationship
DATES: undated.
ARRANGEMENT: None

DESCRIPTION: This request is submitted by the State Division of Family Services to local registrars to search birth records. Since some people cannot afford to obtain birth certificates, it is used to verify births and relationships to receive state benefits. The form includes father's name, an indication which other forms were also completed (acknowledgment of paternity of parents, paternity of father and date, or paternity not acknowledged), mother's name, name of children, birthdate, place, certificate numbers, signature and title of local health official.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is proposed and has not yet been approved.

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years and then destroy.

Paper: Retain in Office for 2 years and then destroy.

APPRAISAL

PRIMARY DESIGNATION

Private

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