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Identifying Data II
Are the partner's married to each other?
*
Yes
No
If yes, what is the date of marriage:
*
Children (List from oldest to youngest, include stillbirths and miscarriages):
Blended Families:
(For remarried families, list all children down below)
Family 1:
Children (List from oldest to youngest, include stillbirths and miscarriages):
Family 2:
Children (List from oldest to youngest, include stillbirths and miscarriages):
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