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Virginia Administrative Code
Title 12. Health
Agency 5. Department of Health
Chapter 550. Board of Health Regulations Governing Vital Records
12/3/2024

FORMS (12VAC5-550).

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).

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