The state or territory issued birth certificate is a secure A4 paper document, generally listing: Full name at birth, sex at birth, parent(s) and occupation(s), older sibling(s), address(es), date and place of birth, name of the registrar, date of registration, date of issue of certificate, a registration number, with the signature of the registrar and seal of the registry printed and or embossed. Most states allow for stillbirths to be issued a birth certificate. Some states issue early pregnancy loss certificates (without legal significance if before 20 weeks). Depending on the state or territory, amendments on the certificate are allowed to correct an entry, add ascendant, recognize same-sex relationship, changing the sex of the holder is possible in all states and territories.