Rhode Island Department of Health - Vital Records · Rhode Island state form
VR-37B Affidavit of Birth of Personal Knowledge
This affidavit records a person’s knowledge of a mother’s pregnancy and birth. For a home birth without prenatal care, two affidavits are required.
- What this form is
- The Affidavit of Personal Knowledge asks an affiant to state their personal knowledge of a pregnancy and birth, their relationship to the mother, and their addresses and contact information. The form includes a warning about penalties for furnishing false information for a vital record. For a home birth without a prenatal care provider, the Department of Health requires two affidavits; only one may be from a friend.
- Who needs it
- A person with personal knowledge of a home birth may complete an affidavit; two are required when there was no prenatal care provider.
- Why it needs a notary
- The affiant must sign under oath before a notary. This can be done online with a commissioned online notary.
- How to submit it
- The form says affidavits should be on file with the Center for Vital Records. Send them to Rhode Island Department of Health, Center for Vital Records, Simpson Hall, 6 Harrington Road, Cranston, RI 02920.
Questions
Who completes the Affidavit of Personal Knowledge?
A person with personal knowledge of the mother’s pregnancy and birth completes the affidavit and provides information about their relationship to the mother.
How many affidavits are required for a home birth without prenatal care?
The form says two Affidavits of Personal Knowledge are required. Only one may be from a friend; the other must be from a community member who is not a friend.
Does this affidavit need to be notarized?
Yes. The form requires the affiant to sign under oath before a notary. Notarization can be completed online with a commissioned online notary.