Get Oh Hea 0196 2016-2025

Filling out the OH HEA 0196, also known as the Birth Parent's Worksheet, is an important step in registering your child's birth. This guide will provide you with clear instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the document and open it in the editor.
2. Begin by entering the mother's medical record number, name, and the newborn's date of birth in the designated fields. Ensure that all information is clear and accurate.
3. In the 'Baby's Information' section, carefully enter the baby's legal name as it should appear on the birth certificate, including first, middle (if any), last names, and any generational suffix.
4. Indicate the newborn’s date of birth and sex by selecting the appropriate options provided in the form.
5. For the birth parent's information, select the preferred parentage title and gender from the given options.
6. Complete the birth parent's current legal name, previous last name (if applicable), and current residence address, ensuring to include the street address, city, state, and zip code.
7. If the mailing address is different from the residence address, fill out the mailing address section; otherwise, check the box stating that the addresses are the same.
8. Provide the birth parent's phone information, including both primary and secondary contact numbers, if applicable.
9. Enter the birth parent's date of birth along with their current age and place of birth, checking the corresponding boxes.
10. Fill out educational attainment, racial background, and information related to smoking and alcohol consumption during pregnancy.
11. Complete the marital status section to confirm whether the birth parent was married or in a domestic partnership and answer related questions about paternity acknowledgment.
12. If applicable, provide the second parent's information in the designated section, ensuring all fields are completed similarly.
13. Furnish Social Security numbers for the birth parent and second parent as required by federal law.
14. Sign and date the form where indicated, confirming the accuracy of the information provided.
15. Once all necessary fields are completed, you can save changes, download the form, or print it for submission.

Complete your documents online now to ensure a smooth registration process.