Form 284 Newborn Certification - Alabama

Form 284 Newborn Certification - Alabama

What Is Form 284?

This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 284?
A: Form 284 is the Newborn Certification form.

Q: Who needs to file Form 284?
A: Parents or legal guardians of a newborn child in Alabama need to file the form.

Q: What is the purpose of Form 284?
A: The purpose of Form 284 is to certify the birth of a newborn in Alabama.

Q: Is there a deadline for filing Form 284?
A: Yes, Form 284 must be filed within 30 days of the child's birth.

Q: What information is required on Form 284?
A: Form 284 requires information about the child's name, date of birth, place of birth, parent or guardian information, and signatures.

Q: Are there any fees associated with filing Form 284?
A: There is no fee to file Form 284.

Q: What should I do after filing Form 284?
A: After filing Form 284, you should receive a certified copy of the birth certificate for your records.

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Form Details:

  • Released on February 1, 2013;
  • The latest edition provided by the Alabama Medicaid Agency;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 284 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.

Download Form 284 Newborn Certification - Alabama

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