actmanagement/reqforms ~ Delaware Health and Social Services – State of Delaware



Required Forms

Employees are required to complete a Parental Leave Request Form.

Employees must also provide legal documentation of birth or adoption of a child within 30 days of the birth or adoption or as soon as it is available.

Legal documents include:

  • Birth Certificate
    • A Birth Certificate is provided by the State’s Office of Vital Records.
  • OR Consular Report of Birth Abroad
    • A Consular Report of Birth Abroad of a Citizen of the United States of America (CRBA) serves as proof of U.S. citizenship. If your child was born abroad, you should apply for a CRBA by contacting the nearest U.S. embassy or consulate.
  • Adoption Order
    • An Adoption Order may be accessed via the State’s Office of the Courts.

Certification of Birth

birthcertif

Parental Leave Request Form

parentleavefrm

Adoption Order
SAMPLE ONLY