Application For Certified Copies - Warren City Health District printable pdf download

Warren City Health District

Vital Statistics

Working Together Toward a Healthier Community

Records Request Instructions

Notice to All

Pursuant to Ohio Revised Code 3705.29, it is unlawful to purposely obtain, possess, use, sell, furnish, or

Vital Statistics

attempt to obtain, possess, use, sell, or furnish to another for the purpose of deception any certificate,

Customers:

record, or certified copy of it that relates to the birth of another person, whether living or dead.

Who Can Order A Record:

Vital records (records of births, deaths, and fetal deaths) are public records in Ohio. This means that anyone who can

submit the basic facts of a record may request a copy.

Placing An Order:

For the fastest response, we recommend placing your order in person. See our website at

call (330) 841-2541 for detailed instructions and further explanation of these options.

Please complete one application form for each record or search requested. Please submit your applications with all

available identifying information.

Birth Certificates:

Please complete the “Record Information” portion of the application with the information as you believe it to be listed

on the original birth record. If there have been any changes to the name of the person on the record, also provide the

new name. Please identify the parents on the record as “mother”, “father”, or “parent”, and provide their names prior

to their first marriage (also known as maiden name). Birth records will be issued as certified abstracts unless you

indicate that you are requesting the certified copy for the specific purposes of obtaining dual citizenship, international

marriage or legal proceedings, or genealogy.

Death Certificates and Social Security Numbers:

As of October 15, 2015, for the first five years after the date of death the social security number of the deceased will not

be included on the death certificate unless the requestor is:

• The deceased’s spouse, or lineal descendant

• A funeral director (or agent responsible for disposition of

• The deceased’s executor, attorney, or legal agent

the body) acting on behalf of the deceased’s family

• A representative of an investigative government agency

• A veteran’s service officer

• A private investigator

• An accredited member of the media

Individuals requesting a death certificate with the social security number included must indicate on their application

that they are requesting the SSN be included and submit satisfactory identification to the registrar or clerk.

Fees:

In accordance with section 3705.24 of the Ohio Revised Code we are required by law to charge a fee for each certified

copy of a vital record issued. The fee at this office for each certified copy of a birth, death, or fetal death record is

$23.00 per certified copy.

(Rev: 8/2016)

Application For Certified Copies - Warren City Health District