Appendix 9998. FORMS (12VAC5-550)


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  • Certificate of Live Birth, VS1 (eff. 1/93).

    Certificate of Death, VS2 (eff. 1/89).

    Certificate of Death (Medical Examiner's Certificate), VS2A (eff. 1/89).

    Marriage Register, VS3 (eff. 1/90).

    Report of Divorce or Annulment, VS4 (eff. 1/90).

    Report of Spontaneous Fetal Death, VS5 (eff. 1/93).

    Report of Induced Termination of Pregnancy, VS5A (eff. 1/90).

    Application for Certification of a Vital Record, VS6 (eff. 7/02).

    Out-of-State Transit Permit, VS10 (eff. 7/85).

    Permit for Disinterment, Transit, and Reinterment, VS11 (eff. 7/85).

    Delayed Certificate of Birth, VS12 (eff. 4/85).

    Report of Adoption, VS21 (eff. 7/85).

    Acknowledgement of Paternity, VS22 (eff. 9/93).

    Affidavit for Correction of a Record, VS32 (eff. 1/87).

    Hospital Monthly Vital Statistics Report, VS33 (eff. 7/89).

    Funeral Director's Monthly Vital Statistics Report, VS33-A (eff. 3/90).

    Court Order Establishing Record of Birth, VS40 (eff. 10/88).