NHB
Form 218

ACT GOVERNMENT
Births, Deaths and Marriages Registration Act 1997
Registrar-General’s Office
NOTIFICATION OF BIRTH NOT OCCURRING IN A HOSPITAL

PRIVACY COLLECTION STATEMENT (PRIVACY ACT 1988 (C’WLTH))

PRIVACY NOTES

The Births, Deaths and Marriages Registration Act 1997 authorises the Registrar-General to collect the information required by this form for the establishment and maintenance of registers and in processing your application.  The Registrar-General prevents any unreasonable intrusion into a person’s privacy in accordance with the Privacy Act 1988 (C’wlth).  However, the Registrar-General provides identifiable information to law enforcement organisations and authorised organisations that have legal authority to request information under prescribed circumstances.	

WHO IS RESPONSIBLE FOR NOTIFICATION

All births occurring in the Australian Capital Territory must be notified to the Registrar-General.  If the birth did not occur in a hospital the doctor or midwife responsible for the professional care of the mother is responsible for notifying the Registrar-General.  Notification is required within 7 days of the birth in the case of a live birth, or 48 hours in the case of a stillbirth.	

GENERAL INFORMATION

This form may be used to notify the Registrar-General of a birth that did not take place in a hospital.	

CONTACT DETAILS

The Registrar-General’s Office is located at 255 Canberra Avenue, Fyshwick ACT 2609.  Our postal address is PO Box 225, Civic Square ACT 2608.  Our office hours are 9:00am to 4:30pm Monday to Friday.  You may also download forms and information from our website at www.rgo.act.gov.au or contact this office on (02) 6207 0460.	

Telephone Interpreter Services	
If English is not your first language, and you need help with this form, please telephone 131 450 for assistance 24 hours a day.

NHB
Form 218

Notification No

ACT GOVERNMENT
Births, Deaths and Marriages Registration Act 1997
Registrar-General’s Office
NOTIFICATION OF BIRTH NOT OCCURRING IN A HOSPITAL

DETAILS OF CHILD	
Date of birth		Sex		If multiple birth (ie 1 of 2)		Weight	
            /               / 				                        of		                                    grams	
Was child born alive?		Gestation if not alive		Is the child to be adopted?	
         		                                      weeks			
Place of birth	
	
Was the child taken to a hospital within 24 hours of birth? If so the name of the hospital	

DETAILS OF MOTHER	
Surname		Given Names	
			
Residential address 	
	
Name of the doctor or midwife responsible for the professional care of the mother at the birth 	

DETAILS OF PERSON GIVING THIS NOTICE	
I certify that I have read this form thoroughly and that the information provided, is to the best of my knowledge and belief, true and correct for registration purposes.  I understand that it is an offence to make a false or misleading statement in any application or document under the Births, Deaths and Marriages Registration Act 1997.
	
Surname		Given names in full	
			
Occupation		Daytime contact telephone number	
			
Current residential address		Signature	
                                                                               Suburb/Town			
                                                                               State/Country