The information you report in TxEVER is used to create a child's birth certificate.
Accuracy: ensure the information you report is correct so that an accurate birth certificate is created.
Confidentiality: the State of Texas safeguards against the unauthorized release of identifying information from birth certificates.
Legal document: the certificate is a legal document that the child will use throughout their life to prove their identity, birthplace, and parentage.
ImmTrac consent: if the parent has not yet been offered the option to consent for ImmTrac participation, you may skip this section and answer at a later time.
| Question | Answer |
|---|---|
| Form Name | Form VS-109 |
| Form Length | 15 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 min |
| Edition | rev. 07/21 |
| Who completes it | Medical personnel |
| Reported in | TxEVER, the Texas Electronic Vital Events Registrar |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | VS-109, VS109, Form VS-109, Birth Worksheet for Child's Birth Certificate, Texas birth certificate worksheet |
| Official source | Form VS-109 (Rev 07/21), Texas Department of State Health Services |
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