Fillable Request For Military Discharge Papers Template (Page 2 of 2) in pdf

Missouri Request Form RAM59.480 Page 2

5. Notary Certificate

State of Missouri

County of_______________

On this _____ day of _____________, in the year 20___, before me a Notary Public in and for the said

State, personally appeared _______________________________________________________________,

known to me to be the person(s) who executed the within Request for Military Discharge Papers and

acknowledged they executed the same for the purposes stated pursuant to RSMo. 59.480.

My Commission expires:_______________

_________________________________________

Notary Public Signature

(Seal)

Request forms are not public records under RSMo 59.480. Completed request forms will be maintained in the

Recorder of Deeds for a period of five years from date of request and provided pursuant to RSMo 59.480.

INSTRUCTIONS FOR COMPLETING MISSOURI REQUEST FORM RAM59.480

All information must be typed or clearly printed black or dark ink in order to be accepted and filed. The requester

shall complete the following information in accordance with the rules and regulations stated.

Section 1. Record Locator Information.

The name of the Veteran and the county that the Military Discharge Paper is filed in must be completed.

At least one of the following options must be provided in order to identify the requested record:

*Date of birth

*Social Security Number; or

*Branch and Date(s) of Service

Section 2. Type and number of copies requested. Each request form is limited to one Military Discharge Record. Requester must state the

number of each type of copy of the record to be requested. The Recorder of Deeds shall determine the maximum number of copies allowed per

each request.

Section 3. Authorized Party requesting copy. The name, complete mailing address and the telephone number of the party authorized to make the

request must be completed.

Section 4. Authorized Statement. The requestor must complete 1) Type of request being made and 2) Type of authority granted by statute either

a) or b). The requestor must date and sign as the Authorized Party in the presence of a Notary Public. The Recorder of Deeds may request proof

of identify and any additional documentation to verify the requestor’s statutory capacity.

Section 5. Notary Certificate. The notary shall complete the notary clause in accordance with state laws. This shall include, but not be limited to

an original signature and their seal if applicable.

Recorder of Deeds Verification or Rejection.

1. The Recorder of Deeds shall complete the Request Verification of the Military Discharge Record Request by:

Assigning a Request Verification Number

Stating the location of the record provided (i.e. book and page, index number, etc.)

Provide the date the request was completed and filed.

Sign or initial the Verification.

Recorder shall maintain and file the original request form.

2. If a Request for Military Discharge Paper is incomplete or inaccurate, the Recorder of Deeds may reject the request by:

Assigning a Request Rejection Number

Stating the reason under the Request Rejection

Provide the date the request was rejected

Sign or initial the Rejection.

Recorder shall keep a copy of the rejected request form and return the original to the requester.

3. The Recorder of Deeds shall maintain an index separate from the public for all Verifications and Rejections.

4. The Recorder of Deeds shall keep and file all Verifications and Rejections for a period of five years from the date of the request. The Request

Forms are not public records and only provided pursuant to RSMo 59.480.

Request For Military Discharge Papers Template Page 2

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