Exhibit 1 Mother's Worksheet.pdf

This document is a Mother's Worksheet for Child's Birth, used for creating a birth certificate and collecting demographic information. The four-page form is designed to gather comprehensive details about the mother, including her legal name, contact information, personal background, and medical history. It requests information such as the mother's current legal name, Social Security number, residence, education level, Hispanic origin, race, pre-pregnancy weight, smoking habits, and marital status.

The worksheet also includes sections for potential father information, including legal name, birth details, education level, Hispanic origin, and race. There is a provision for obtaining Social Security Administration information and a section for an informant to certify the accuracy of the provided information. The form appears to be part of a standardized process for documenting birth records, with specific instructions for completing each section and noting that the information will be used for legal purposes such as proving age and citizenship.