HAR §11-120-4. Issuance of certificate

Upon submission of the application as provided herein, the registrar shall prepare and file the Hawaii certificate of foreign birth that shall contain the following information: (1) Information about the adopted person: (A) Full name as set forth in the adoption decree; (B) Sex; (C) Date of birth; and (D) Place of birth. (2) Information about the adoptive parents: (A) Name of father and maiden name of mother; (B) Date of birth of each parent; (C) Place of birth of each parent; and (D) Mailing address of parents. (3) The statement "This certificate is not evidence of United States citizenship for the child or the parents named above." [Eff. FEB 19 1981] (Auth: HRS Secs. 321-9, 338-2) (Imp: HRS Secs. 338-17.7(c), 338-20.5) The Department of Health authorized the adoption of Chapter 120 of Title 11, Administrative Rules, on January 16, 1981 following a public hearing held on Oahu on December 17, 1980, after public notice was published in The Honolulu Advertiser on November 26, 1980, in The Garden Island and The Maui News on December 1, 1980, and in The Hawaii Tribune-Herald on November 30, 1980. Chapter 120 of Title 11, Administrative Rules, shall take effect ten days after filing with the Office of the Lieutenant Governor. George Yuen GEORGE YUEN Director Department of Health APPROVED: George R. Ariyoshi GEORGE R. ARIYOSHI GOVERNOR STATE OF HAWAII Dated: Feb 7, 1981 APPROVED AS TO FORM: Deputy Attorney General REC'D. BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. # TITLE 11 ## DEPARTMENT OF HEALTH ### CHAPTER 123 NAMES OF NATURAL PARENTS ON BIRTH CERTIFICATE OF ADOPTED PERSON Sec. 11-123-1 Purpose Sec. 11-123-2 Definitions Sec. 11-123-3 Application for inclusion of names of natural parents on supplementary birth certificate Sec. 11-123-4 Application requirements