<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".16" citation="COMAR 10.03.01.16" title_num="10" subtitle_num="03" chapter_num="01" heading="Births Outside an Institution.">
  <paragraph num="A.">
    <text>An attending clinician in charge of a birth outside an institution shall:</text>
    <paragraph num="(1)">
      <text>Prepare the forms required by the Secretary to register the birth; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>File the forms.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>If a birth occurs outside an institution and an attending clinician is not in charge of the birth, the local health officer or designee of the jurisdiction where the birth occurs shall:</text>
    <paragraph num="(1)">
      <text>Verify the facts regarding the birth by obtaining the documentation required by §D of this regulation;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Sign the birth record; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>File the birth record with the Secretary.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If the facts regarding a birth cannot be verified by the local health officer of the jurisdiction where the birth occurs, in order for the Secretary to create a birth record, an individual listed in Health-General Article, §4-208(b), Annotated Code of Maryland, shall obtain an order from a court of competent jurisdiction that:</text>
    <paragraph num="(1)">
      <text>Lists the facts about the birth; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Authorizes the Secretary to create the birth record according to the facts.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The following documentation shall be required to verify a birth outside an institution when an attending clinician is not in charge of the birth:</text>
    <paragraph num="(1)">
      <text>A valid, unexpired, government-issued identification document for the child’s mother in the form of a:</text>
      <paragraph num="(a)">
        <text>Driver’s license;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>State-issued photo identification card;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Passport;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Permanent resident card;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Military identification card; or</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A signed statement the mother does not have any of the identification documents listed in §D(1)(a)—(e) of this regulation and two of the following documents that contain the applicant’s name and current address:</text>
        <paragraph num="(i)">
          <text>Utility bill;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Car registration form;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Pay stub;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Bank statement;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Income tax return;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Income tax W-2 form;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Lease or rental agreement; or</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Letter from a government agency;</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Evidence of pregnancy in the form of:</text>
      <paragraph num="(a)">
        <text>A prenatal or postnatal medical record that is consistent with the date of delivery and includes the:</text>
        <paragraph num="(i)">
          <text>Mother’s name, date of birth, and date of health exam; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Health care provider’s signature, printed name, signature date, and license number;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>A statement from a physician or certified nurse midwife licensed in the United States, or a direct-entry midwife licensed in Maryland, who has first-hand knowledge of the pregnancy and is willing to attest to the fact of pregnancy;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Preregistration with the local health department during pregnancy, including a face-to-face interview and physical examination;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Documentation of a home visit by a public health nurse or other health care provider who has first-hand knowledge of the pregnancy; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Other evidence acceptable to the Secretary;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Evidence of live birth in the form of:</text>
      <paragraph num="(a)">
        <text>A statement from a physician, certified nurse midwife, or other licensed health care provider who saw or examined the infant within the first 2 weeks of life;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>An observation of the infant during a home visit by a public health nurse or licensed health care provider during the first 2 weeks of life; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Other evidence acceptable to the Secretary; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Evidence of place of delivery in the State as follows:</text>
      <paragraph num="(a)">
        <text>If the birth occurred in the mother’s place of residence, evidence of place of delivery shall be in the form of:</text>
        <paragraph num="(i)">
          <text>A driver’s license or other State-issued identification document that includes the mother’s current Maryland address;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A rent receipt, mortgage statement, or deed that includes the mother’s name and Maryland address;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>A recent pay stub that includes the mother’s name and Maryland address; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Other evidence acceptable to the Secretary;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>If the birth occurred outside the mother’s place of residence and the mother is a resident of Maryland, evidence shall be in the form of:</text>
        <paragraph num="(i)">
          <text>An affidavit from the tenant of the premises where the birth occurred stating that the mother was present on those premises at the time of the birth;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Evidence of the affiant’s residence similar to that required in §D(4)(a) of this regulation; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Evidence of the mother’s residence in the State similar to that required in §D(4)(a) of this regulation; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>If the mother is not a resident of Maryland, evidence shall consist of clear and convincing evidence acceptable to the Secretary.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>