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A certificate of live birth is prepared by a hospital for data entry purposes, then sent to the local governmental entity that prepares a birth certificate. Quoting Difference Between Birth Certificate And Certificate Of Live Birth: For most purposes of identification, people use the Birth Certificate as the original document.
Initial certifications, on the other hand, are usually for those who have never been certified before or have not been certified for a specified time after their first certification has expired (usually 2 years). The actual content presented in these two trainings may or may not vary.