While we have never had a child in the states, my understanding has always been that a birth certificate is issued to the parents of the child in the hospital along with a social security number. Since those are government issued documents, and we do not live in the country that issues them, the steps are a little different for us. Instead of a birth certificate, we were issued a birth announcement in Arabic. I can't read Arabic, but my understanding is that the document serves as proof that the baby was born, at which hospital, at what time, and to the parents. So, very similar to a birth certificate in theory, but not exactly.
Our school and the HR office did an amazing job walking us through this process so all credit goes to them. But before the baby is even born, weeks or months before, an appointment needs to be made at the local Saudi government health office to apply for the actual birth certificate. Since Harris came a little earlier than expected, and we had already made the appointment, we had a few weeks of time to kill before we could go to the appointment. When the day finally came, I took the day off of school and the school arranged for me to go with a guy who can only be described as a fixer, or government office liaison. I had to bring both my and Shannon's passports, resident ID cards, his birth announcement, our marriage license, an Arabic translation of our marriage license, and an application filled out in Arabic. My liaison assured me that this process, with an appointment takes about 10 minutes. Well he was wrong this time. When we got in, we took a number, got ushered from one room to the next, and took a number. We had number 149 and they were on 72 when we got there so I knew the 10 minute time limit wasn't going to be an option for us. About an hour into waiting, we were asked to leave the building to stand outside because they were closing for prayer. I wasn't sure if we would lose our place in line or if the ticket system would still be valid, but either way I wasn't going to leave without a birth certificate. We went back in after prayer and kept waiting. And waiting. And. Waiting. It took a total of about three hours. As I looked around the waiting room, I saw lots and lots of new dads. It was pretty much only new dads as this office was a men only place. At one point, my government office guy toyed with the idea of purchasing the right to swap numbers with someone else. We ultimately decided against it, but I appreciated his resourcefulness nonetheless. When the time finally came, they just came out with a long dot matrix printed stack of connected perforated papers (the elusive birth certificates). They started calling out the names of the babies one by one and exasperated new dads took them triumphantly and left. Mohammed, Abdulaziz, Abdullah, Mohammed, Abdullah, Abdulrahman, Mohamed, and finally Harris. There was no mistaking which one was mine, so that made it easy.

After that, we start the social security process and all that it might entail. It has been a few errands and a lot of running around, but they are necessary chores for what will be an important step for Harris and our family.
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