Most of Jamaica’s births occur in hospitals or other birthing institutions. In these instances, the onus of registration is on the Chief Resident Officer of the institution. The procedure for the parent(s) is itemised below:

•  After delivery of the child in hospital, ensure that a Notification of a Birth In a Public Institution or Private Hospital or Form D is completed by the Chief Resident Officer (or by an appropriate representative). 

• All details for the child, mother and father must be supplied for the completion of the Form D. If the mother is not married to the father of the child, he will have to attend the office of the Local District Registrar (LDR) at the time of registration and sign the birth registration form in order for his particulars to be added to it. (See Status of Children Act)

•  If a name has not yet been chosen for the child, the Certificate of Naming section of the Form D will be detached and issued to the parent(s) and instructions given for the form to be completed and presented to the LDR within six (6) weeks of the birth of the child. After this six-week period, the addition of the child’s name will incur a cost and must be applied for through one of the offices of the Registrar General's Department. (see Status of Children Act)

• The Form D would then be sent to the LDR by the Chief Resident Officer or representative and the parent(s) advised to attend the LDR office if any one or all of the following obtains:

•  The child is not named

•  The parents are unmarried and the father’s particulars are to be added to the birth registration (known as “A and B Registration”)

• After the birth registration form is completed by the LDR and all relevant signatures are affixed, the process is complete.