Birth Certificate Mail In Application Form - Montana Vital Statistics
Download a blank fillable Birth Certificate Mail In Application Form - Montana Vital Statistics in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Birth Certificate Mail In Application Form - Montana Vital Statistics with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1MONTANA VITAL STATISTICS
111 N SANDERS RM 6 / PO BOX 4210
HELENA, MONTANA 59604-4210
Phone: 406-444-2685
PLEASE READ THESE INSTRUCTIONS CAREFULLY
WHO CAN ORDER A BIRTH CERTIFICATE?
Only those authorized by 50-15-121 MCA and 37.8.126 ARM, which includes the registrant (14 years old or older), the registrant’s spouse, children (with proof of
relationship), parents, grandparents (with proof of relationship), a caretaker relative, guardian, an authorized representative, or those who provide documentation showing it
is needed for determination or protection of the individuals personal or property rights. Proof of relationship, guardianship, caretaker relative, or authorization is required to
obtain a certify copy of a birth record.
Step-relatives, in-laws, aunts, uncles, cousins, ex-spouses, and a natural parent of an adoptive child are not eligible to receive a certified copy of a birth certificate.
IDENTIFICATION IS REQUIRED
The person signing the request must provide an enlarged legible photocopy of both sides of their valid driver’s license or other legal picture identification with a signature or
the requestor must have this application notarized.
Suggested Identification
Picture ID with a Signature
OR Two Forms of ID – One MUST have a Signature
OR
Driver’s License
Social Security Card
Credit/Debit/ATM Card
Notarized Montana Office of Vital
Work ID Card
School ID Card
Statistics Statement to Identify certified
State ID Card
Car registration/Insurance
Birth or Death Certificate Applicant form
Passport
Library Card
Doctor/Medical record
(you must provide the original letter, not a
Military ID Card
Insurance Record
Fishing License
photocopy or faxed copy)
Tribal
Pay Stub
US Military DD214
Have an authorized family member that
Traffic/ Pawn ticket
has an ID order the certificate
Utility Bill with a current address
Court record
Voter Registration Card
Year Book
If a picture ID with a signature is not available, two other forms of identification are required; one MUST have a signature. Please include photocopies of both sides of the
ID when mailing your request
IMPORTANT: If the identification requirement is NOT met or if the application is incomplete, your request will be returned and significant delays in processing
your order may occur.
FEE (All fees must be U.S. funds)
CERTIFIED COPIES OF A BIRTH CERTIFICATE cost $12.00 for the first copy, $5.00 for each additional copy of the same record. (non-refundable)
INFORMATIONAL COPIES OF A BIRTH CERTIFICATE may be issued to anyone as long as the birth occurred 30 years prior to the date of application, the cost
is $10.00. (non-refundable)
CERTIFIED COPIES OF DOCUMENTS on file with the state (i.e. Acknowledgment of Paternity, correction affidavits), the cost is $12.00 (non-refundable)
SEARCHES: $10.00 for the first 5 years searched, then $1.00 per year over the first five years per name requested. (An informational copy will be issued if record is
found) (non-refundable)
PLEASE MAKE CHECKS PAYABLE TO: MONTANA VITAL RECORDS
Please complete the following information.
FULL First, Middle and Last Name on Birth Certificate:____________________________________________________________________________
Has name ever been changed other than marriage _____ No _____ Yes if so original name ________________________________________________
Date of Birth:
Place of Birth (City or County):______________________________
Mother’s Full Maiden Name: ___________________________________________________
Father’s Full Name:____________________________________________________________
# of copies needed
Your relationship to the certificate holder :__________________( self, mother, father etc) Reason the Birth Certificate is needed: _________________
Mailing or Delivery Address:
Name: ___________________________________________________Applicant’s Signature______________________________
Address: _________________________________________________________________________________________________
City, State, Zip: _________________________________________________ Daytime Telephone Number: __________________
__________________________________________
___Notary_ (For use if needed)________________________________________________
_______________________________ personally appeared before me and whose identity I proved on
Official Use Only
the basis of satisfactory evidence to be the signer of the above instrument.
Subscribed and sworn to before me this__________ day of ____________________ 20____
Date ____________________________________
Rec# ___________________________________
Amount _________________________________
Signature:
_____________________________________________
Cert #___________________________________
Printed Name: ___________________________________________
SEAL
Notary Public in and for the State of ___________________________
Ser #____________________________________
Residing at _____________My commission Expires______________
Comment _______________________________
________________________________________
NOTICE: STATE LAW PROVIDES PENALTIES FOR PERSONS WHO WILLFULLY AND KNOWINGLY USE OR
ATTEMPT TO USE THIS CERTIFICATE FOR ANY PURPOSE OF DECEPTION. (50-15-114, MCA)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business