[PDF] Vital Records Birth/Death Application

Name of applicant: Day phone number: Address: City: State: Zip code: Note: Mail from Vital Records will not be forwarded by the USPS Address certificate to be

(1) “Vital records” means certificates or reports of birth, death, marriage, (divorce, dissolution of marriage, or annulment) and data related thereto (m) “Vital reports”

[PDF] Bureau of Vital Records Request for Copy of Birth Certificate

Town/City of Birth County Hospital Name on Birth Certificate First Middle Last Mailing Address Street City State Zip # of Certified Copies Requested

[PDF] SOUTH DAKOTA *> VITAL RECORDS REQUEST

By state law, vital records are not open for public inspection Vital records may be issued in the form of a certified or an informational copy • Self Only certain

[PDF] Mail-in Application for Copy of Birth Certificate - New York State

If no record is found, your fee will not be refunded Send to: New York State Department of Health Bureau of Vital Records Certification Unit PO Box 2602 Albany,

[PDF] Wisconsin Birth Certificate Application - Wisconsin Department of

Division of Public Health F-05291 (Rev 11/2016) STATE OF WISCONSIN Wis Stat § 69 21 Page 1 of 2 WISCONSIN BIRTH CERTIFICATE APPLICATION

[PDF] Disclosure of Vital Records Information - Wisconsin Department of

The state and local vital records offices shall issue certified and uncertified copies of vital records per Wis Stat § 69 21, to any person if they submit a request in