File name: Vital records authorization form pdf
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Commonly Used Forms. To be considered valid, this form must be accompanied by a copy of the eligible individual’s acceptable California Vital Records Authorization Form InstructionsIn the box, print the BIRTH name of the person on the certificate and your relationship to that individual (i.e., if it is you, write “self”. The registrant or a parent or legal guardian Vital Records Request & InformationVital Records application *** Effective Jthe Amendment Request Portal (ARP) will be used to create the Court Report of Adoption (VS) Form *** Vital Records, Data and Statistics FormsVITAL RECORDS AUTHORIZATION FORM. Get the authorization form notarized. VS (PDF)Application for Tabulated California Vital Records Data. VS (PDF)Application for CDPH Programs Surveillance Use Only. Pursuant to Health and Safety Code, the following individuals are entitled to an AUTHORIZED Certified Copy of a birth record. Print the Vital Records Authorization form but don't sign it. VS (PDF)CDPH Program Request for OSHPD Data Other Vital Records F orms APPLICATION FOR BIRTH RECORD. This form is to be filled out by an individual already eligible to receive a vital record certificate, in order to authorize another individual (the designee) to receive the certificate on their behalf. Note: All applicants must provide a photocopy or show a valid government, school or employer issued photo identification. E-notarization is accepted. Certified Copy of a Death Certificate (pdf) Certified Copy of a Birth Certificate (pdf) VS (PDF)Request Vital Records Forms. LOS ANGELES COUNTY y REGISTRAR-RECORDER/COUNTY CLERK, P.O. BOX, NORWALK, CA () APPLICATION FOR BIRTH RECORD. Fax our coversheet (PDF, 1MB) and your signed The forms listed below are in PDF formatIf you have problems opening the form from your browser, try downloading or saving the document to your computer first (right APPLICATION FOR BIRTH RECORD. LOS ANGELES COUNTY y REGISTRAR-RECORDER/COUNTY CLERK, P.O. BOX, NORWALK, CA () If a form that you want is not available on line, please call us at, and we will send you the form(s). If you are the parent, write “parent”, etc.)Print and complete the form Vital Records Forms. Applications without proper identification will be rejected and not processed.