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(b) The date of birth and place of birth of the registrant.
(c) The full maiden name and birthplace of the registrant's mother.
(d) The full name and birthplace of the registrant's father, except that if the mother was not
married to the father at the time of birth or within 300 days preceding the birth, the name of the
father must not be entered on the delayed registration of birth, unless there is filed with
the department a properly executed affidavit of parentage, a true or certified copy of an
acknowledgment of paternity filed in a court, or a true or certified copy of a court determination
of paternity.
(4) The application must be accompanied by the fee prescribed by law and documentary
evidence as prescribed by these rules.
(5) The official notice of the state registrar that the birth cannot be located in the files of the
state registrar must accompany the application, except that this notice is not necessary for
applications received within 1 year after the date the statement was issued.
(6) Each of the facts prescribed by subrule (3) of this rule must be supported by any of the
following:
(a) For individuals over the age of 10, 3 pieces of acceptable documentary evidence that
establish to the satisfaction of the state registrar the facts and date of the live birth. Documents
must have been established at least 10 years before the date of application.
(b) For individuals 10 and under, 2 pieces of acceptable documentary evidence that establish to
the satisfaction of the state registrar the facts of birth. Documents must be dated at least 1 year
before the date of application or within the first year of life.
(c) At least 1 piece of documentary evidence that establishes to the satisfaction of the state
registrar the names of the mother and father.
(7) Documents submitted in support of a request to establish a delayed birth certificate that
contain signs of erasure, alterations, or changes to the pertinent information must not be
accepted.
(8) The state registrar shall review each application and the evidence submitted in support of
the application. When the documentary evidence is insufficient to support the application, the
state registrar may require the submission of additional documentary evidence. The state
registrar shall dismiss an application when additional evidence requested or the required fee is
not received within 1 year after the request for the additional evidence or the fee. When an
application is dismissed, the state registrar shall send a written notice of dismissal to the
applicant. The application fee submitted must be retained. The state registrar shall deny an
application when the applicant is not eligible to apply or when the applicant cannot provide
satisfactory documentary evidence in support of the application. When an application is denied, a
written notice of denial must be forwarded to the applicant indicating the reason for the denial.
The application fee submitted must be retained, except when the applicant is not eligible to
apply.
(9) If, after review of the application and the evidence, the state registrar is satisfied that the
evidence supports the request, the state registrar shall prepare a delayed registration of birth on a
form prescribed by the state registrar and place the record in the active files of the system of vital
statistics. A delayed registration of birth must show on its face a summary statement of the
evidence submitted in support of the delayed registration of birth and be marked "delayed." A
copy of the delayed registration of birth must be forwarded to the local registrar for the
area where the birth occurred.