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Wisconsin Worksheet for Creating Your Child's Birth Record (F-05108)

Official state formOther requestsForm F-05108Free downloadLast verified November 14, 2026

Worksheet that the parent giving birth completes with the birthing facility to create a new baby's Wisconsin birth record. It is given to the birthing facility, which files the record.

Who can use this form

  • The parent giving birth.
  • The worksheet has a section for the birthing facility to complete.

What to send with it

  • The completed worksheet, given to the birthing facility, which files the record.
  • Read Facts About Your Child's Birth Certificate (F-05103) first, as the worksheet says.

Where to send it

Mail to
See the form for where to file it.
State fee
Not provided
Typical processing
Not provided
Form revision
01/2023
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Wisconsin Worksheet for Creating Your Child's Birth Record