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PDF-DEPARTMENT OF HEALTH SERVICES LYLVLRQRIXEOLFHDOWK HY STATE OF WISCONSIN KDSWHUDELVWDWV DJHRI FAX APPLICATION FOR A WISCONSIN BIRTH CERTIFICATE HUVRQDOOLGHQWLILQJLQIRUPDWLRQUHTXHVWHGRQWKLVIRUPLQFOXGL

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Published 2014-10-19 | 7604 Views

DEPARTMENT OF HEALTH SERVICES LYLVLRQRIXEOLFHDOWK HY  STATE OF WISCONSIN KDSWHUDELVWDWV DJHRI FAX APPLICATION FOR A WISCONSIN BIRTH CERTIFICATE HUVRQDOOLGHQWLILQJLQIRUPDWLRQUHTXHVWHGRQWKLVIRUPLQFOXGL
See Page 2 of this form for valid photo ID requirements for processing this application SECTION I SHIP TO INFORMATION Print or type You must complete this section

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