<P> According to the Department of Health and Human Services , Office of Inspector General , as of 2000 there were more than 6,000 entities issuing birth certificates . The Inspector General report states that according to staff at the Immigration and Naturalization Service 's Forensics Document Laboratory the number of legitimate birth certificate versions in use exceeded 14,000 . </P>
birth certificates are most often completed by the department
Department of Health and Human Services