PDF
Word
Form 265 Newborn Certification Form - Alabama
What Is Form 265?
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 265 Newborn Certification Form?
A: Form 265 is a Newborn Certification Form used in the state of Alabama.
Q: What does Form 265 Newborn Certification Form certify?
A: Form 265 certifies the birth of a newborn and collects important information about the child and parents.
Q: Who needs to fill out Form 265 Newborn Certification Form?
A: Form 265 needs to be filled out by the attending physician or midwife who delivered the baby.
Q: When should Form 265 Newborn Certification Form be submitted?
A: Form 265 should be submitted within 5 days of the birth of the baby.
Q: What information is required on Form 265 Newborn Certification Form?
A: Form 265 requires information about the baby's name, date of birth, parent's names, and other details related to the birth.
Q: Is there a fee for submitting Form 265 Newborn Certification Form?
A: There is usually no fee for submitting Form 265 in Alabama.
Q: What is Form 265 Newborn Certification Form used for?
A: Form 265 is used to create a legal record of the birth and to obtain a newborn's birth certificate in Alabama.
Form Details:
- Released on August 14, 2000;
- 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 265 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
