St. Joseph County, MI · St. Joseph County
Live Birth Worksheet (Local Registrar)
Parents or informants complete this worksheet with information used to create a child’s birth certificate and provide it to the local registrar.
At a glance
- Issued by
- City of St. Joseph County · St. Joseph County, St. Joseph County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- Original source unavailable. Use the archived PDF.
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The worksheet collects information for creating a child’s birth certificate, including the child’s name and birth details, parent information, place of birth, and parentage details. It also records the signer’s affirmation that the information is correct and asks for a signature and completion date. The document does not state when or how to submit it; it identifies the local registrar and notes that the worksheet is retained for a limited time.
Who needs it
A parent or other informant provides the child’s birth and parent information and signs the worksheet for the local registrar.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the signer affirms the information is correct and signs and dates the worksheet.
How to submit this form
- 1
Download the Worksheet
Download the Live Birth Worksheet PDF.
- 2
Complete the Worksheet
Print clearly and provide the requested child, parent, birth, and informant information.
- 3
Review and Sign
Review the information, affirm that it is correct, then sign and date the worksheet.
- 4
Submit to the County
Submit the worksheet to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- What is the Live Birth Worksheet used for?
- It collects information used to create a child’s birth certificate, including birth details, parent information, and information about the place of birth.
- Who completes the Live Birth Worksheet?
- A parent or informant completes the worksheet. The form asks for the informant’s relationship to the child and requires the signer’s printed name, signature, and date.
- Do I need a notary for the Live Birth Worksheet?
- No. The worksheet is signed without a notary; the signer affirms the information is correct and signs and dates it.
- How do I submit the Live Birth Worksheet?
- Submit it to the county department named on the form; check the county website for current contact details.