Iowa Administrative Code
Agency 641 - Public Health Department
Chapter 100 - Establishment of New Certificates of Birth
Rule 641-100.6 - Minimum Information Required

1. The name of the child;

2. The date and place of birth as transcribed from the original certificate;

3. The names and personal particulars of the adoptive parents or of the natural father;

4. The name of the attendant, printed or typed;

5. The same birth number as was assigned to the original certificate;

6. The original filing date.