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Form 4421 for Queens New York: What You Should Know

Of this Article. To obtain your New York State Certification, you must complete all the  Application for Medical Examiners Certificate (Form MCSA-5876), and (1)  Fill in the required information on both forms to obtain an Official Certification in New York State (Form 38-1). The New York State Office of Children and Family Services accepts and processes all applications for, and assists a certified person in the preparation of, a Certification of Parent as the Absolute Legal Guardians for the Child. The Certification has an expiration date of April 1, 2022 . If you are required to obtain an application to change your name and/or gender in New York State,  then you must submit a new application as stated above for new Certification. If a Certification does not allow for the issuance of a New York Certificate of Parent as the Absolute Legal Guardians for the Child, then you are required to make a written request to the New York State Office of Children and Family Services within thirty days of your Certificate of Parent as the Absolute Legal Guardians, to obtain one of the following: 1. A certified copy of the New York State Vital Statistics Record which is the official Vital Statistics Record for your child. See “Identifying Your New York Vital Statistics Record” for more information:  2. The application and the fee as noted under the Payment section below. Once you submit all the required documentation of the child's age and sex for a new Certificate, you  are considered “Absolute Legal Guardians” for the child for New York State.  If the application for a New York State Certificate does not contain the required information for a new Certificate and/or is not accepted for processing, then you will have to pay a fee to the office of Children and Family Services in order to obtain a copy of the State Vital Statistics Record.

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