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Primary Documents
Birth certificates (Certificates of Live Birth and Certifications of Live Birth) and Certificates of Hawaiian Birth are the primary documents used to determine native Hawaiian qualification.
The Department of Hawaiian Home Lands accepts both Certificates of Live Birth (original birth certificate) and Certifications of Live Birth because they are official government records documenting an individual’s birth. The Certificate of Live Birth generally has more information which is useful for genealogical purposes as compared to the Certification of Live Birth which is a computer-generated printout that provides specific details of a person’s birth. Although original birth certificates (Certificates of Live Birth) are preferred for their greater detail, the State Department of Health (DOH) no longer issues Certificates of Live Birth. When a request is made for a copy of a birth certificate, the DOH issues a Certification of Live Birth.
If the DOH does not have a birth certificate on file for any of your parents or grandparents, you must obtain a "no-record certification." A "no-record certification” tells Department of Hawaiian Home Lands staff that the DOH searched its files and cannot find the records requested. At a minimum, the DHHL asks that applicants produce certified copies of birth certificates, certificates of Hawaiian birth, or no-record certifications for the following people:
Yourself (if your present legal name differs from the name listed on your birth certificate, you must also submit a marriage certificate, a divorce decree, or a legal name change decree to account for this difference);
Your natural father;
Your natural mother;
Your natural father's parents;
Your natural mother's parents; and
Your natural great-grandparents if applicable (submit these if your grandparents were born after the 1920s)
***IMPORTANT***
(1) Birth certificates of adopted individuals must be cleared through family court. Please ask DHHL staff for assistance.
(2) Out-of-state and foreign birth records [i.e. FS-240 (“Consular Report of Birth Abroad of a Citizen of the United States of America”

, DS-1350 (“Certification of Report of Birth”

, etc.] must be accompanied by notarized affidavits from the biological parents.
Applying for Hawaiian Home Lands — Department of Hawaiian Home Lands
Certification of Live Birth
•This certification of live birth or birth certificate enables a person to obtain important documents such as social security number and benefits and passports. It gives people permission to attend school, and to obtain such things as life insurance, health insurance, tax credits and child benefits, especially if you are applying for assistance from a state government agency.
Certificate of Live Birth
•The Certificate of Live Birth will include personal, precise and detailed information on both parents and the baby, including ethnicity, birth weight of child and the manner in which the child was born; such as vaginally or C-section. It will also include information on what number rank of birth it is at the time of delivery. Certification of Live Birth just shows the city and state for the place of birth, name of the hospital, the parent's names, ages and job titles, and the signature of the attending physician.
Read more: Certificate of Live Birth Vs. Certification of Live Birth | eHow.com
Certificate of Live Birth Vs. Certification of Live Birth | eHow.com
I don't recall seeing a signature of the attending physician