Application For Certified Copy Of Birth Or Death Certificate - Denton County - 2010
Download a blank fillable Application For Certified Copy Of Birth Or Death Certificate - Denton County - 2010 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 Application For Certified Copy Of Birth Or Death Certificate - Denton County - 2010 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
1
2
3
4Vital Statistics
Recording Department
Phone: 940-349-2018
940-349-2010
ACCEPTABLE FORMS OF PAYMENT
INCLUDE: CASH, CASHIERS CHECK,
MONEY ORDER, BUSINESS CHECKS,
PERSONAL CHECKS AND CREDIT/DEBIT.
PHOTOCOPY OF ID
MUST BE SENT IF
Juli Luke
INSTRUCTION FOR SUBMITTING
SUBMITTING
APPLICATION BY
APPLICATION BY MAIL:
County Clerk
MAIL OR SUBMITTING
"NOTARIZED PROOF OF ID", a photo copy
IN PERSON.
Denton County Courts Building
of valid ID, and appropriate payment form
1450 E. McKinney St.
must be included. All forms can be found at
Denton, TX 76209
or as part of this
application.
Application for certified copy of BIRTH or DEATH Certificate
BIRTH
Please Print All Information
X $23.00 (each) = $_____
# OF CERTIFIED COPIES
Espanol en la pagina siguiente
DEATH
$ 21.00
FIRST CERTIFIED COPY:
# OF ADDITIONAL COPIES OF SAME RECORD
X $ 4.00 = $
TOTAL ENCLOSED $
1.
Full Name
First
Middle
Last
(Person on Record)
3. Sex
2. Date of
Month
Day
Year
Birth/Death
4. Place of
City or Town
County
State
Birth/Death
Last (Maiden)
5. Full Name
First
Middle
of Parent 1
6. Full Name
First
Middle
Last (Maiden)
of Parent 2
I wish to make a voluntary contribution of $5.00 to promote healthy early childhood by supporting the Texas Home
Visitation Program administered by the Office of Early Childhood Coordination of the Health and Human Services.
7. Applicant’s Name :
8. Phone Daytime:
9. Mailing Address:
City
State
Zip Code
10. Relationship to Person in Item 1:
11. Purpose for obtaining this record:
WARNING: IT IS A FELONY TO FALSIFY INFORMATION ON THIS DOCUMENT. THE PENALTY FOR KNOWINGLY MAKING
A FALSE STATEMENT ON THIS FORM OR FOR SIGNING A FORM WHICH CONTAINS A FALSE STATEMENT IS 2 TO 10 YEARS
IMPRISONMENT AND A FINE OF UP TO $10,000. (HEALTH AND SAFETY CODE, CHAPTER 195, SEC. 195.003)
SIGNATURE OF APPLICANT
DATE
APPLICATIONS WITHOUT SIGNATURE OF APPLICANT WILL NOT BE PROCESSED
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For Certified Copy Of Birth Or Death Certificate - City Of Orange - Vital Statistics
Business
Application For Certified Copy Of Birth Or Death Certificate - Beaumont Public Health Department
Business
Related Categories
Parent category: Business