The B 104 form serves as an essential document for capturing a comprehensive set of information regarding the father on birth records. This two-page document is meticulously structured to include a wide variety of details such as the father's current legal name, mailing address, date of birth, place of birth, and social security number. It goes further to inquire about his highest level of education and his ethnic background, offering multiple choices to accurately represent his identity, including options for Spanish/Hispanic/Latino identification and a detailed section for racial identification. The form allows for the father's information to be recorded in cases of both live births and fetal deaths, emphasizing its role in ensuring the father's details are accurately captured in vital records. With spaces dedicated to filling in the mother's name, date of birth, and medical record number, the form ensures that the information is linked correctly to the child's record. Additionally, it asks for specific identifiers for those who identify as American Indian or Alaska Native, as well as those from Pacific Islander backgrounds, allowing for a more complete understanding of the child's heritage. By providing detailed options for education level, from no formal education to doctorate degrees, the form aims to gather comprehensive data that can be utilized for various statistical and personal purposes.
| Question | Answer |
|---|---|
| Form Name | Form B 104 |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | FD, DVM, Ghanian, washington state birth certificate form |
