1. Foreign Born Births/Adoptions: State Practices Patricia W. Potrzebowski, Ph.D Director, Bureau of Health Statistics and Research

2. “This record of birth is not evidence of United States citizenship.”

3. >900 Filed 1600 cc’s issued 2003

4. “…presents documents from INS verifying child’s U.S. citizenship.”

5. US Department of State US Department of Justice US Department of Homeland Security

6. Adjudication of U.S. citizenship US Attorney General US Attorney General US Department of State US Department of State

7. Misteaks

8. Irate Customers

10. What do other states do?

11. Not Offered California New York City

12. No Disclaimer No foreign born certificate Citizenship Disclaimer

13. Survey Results 2 No foreign born certificate 2 No foreign born certificate 33 Citizenship disclaimer 17 No disclaimer

14. “Foreign Born/Birth” in Title “Record of Birth Outside of Commonwealth” Commonwealth” 9 Registration Areas

15. Regular Birth Certificates Mississippi Ohio Texas West Virginia

16. Child Citizenship Act of 2000

17. Lessons Learned

18. Politics = Trade offs