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Montana Birth Certificates

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Montana Birth Certificates Powered By Docstoc
					                                                                                   125b9fdf-21fd-4a22-a17c-df05b5385765.xls


                                                                      State Vital Records
                                                                                             Signature        Copy of ID           Age         Notary Signature
     State                       Request Form                         Office Processing                                                                                    Additional Notes
                                                                                             Required?        Required?        Requirement?       Required?
                                                                             Time*
                 http://ph.state.al.us/Chs/VitalRecords/Universa
    Alabama                                                               1-2 weeks             Yes               No               No                 No                          NA
                                       l/dl.pdf

                  http://www.hss.state.ak.us/DPH/bvs/birth/birth
     Alaska                                                                 1 week              Yes              Yes               No                 No                          NA
                                    _form.pdf

                                                                                                                                                                    Client not to complete mailing
                                                                                                                                                                     address portion of request. If
                                                                                                           Yes, or notarized                  Yes, or copy of photo
    Arizona          http://www.azdhs.gov/vitalrcd/forms.htm              1-2 weeks             Yes                              Yes, 18                            providing notary signature, use
                                                                                                              signature                                ID
                                                                                                                                                                       empty portion of box on
                                                                                                                                                                          Authorization form.

                                                                                                                                                                     Client not to complete mailing
                  http://www.healthyarkansas.com/certificates/p
   Arkansas                                                               4-6 weeks             Yes               No               No                 No              address portion of request
                   df/vr-7_birth_certificate_application_july.pdf
                                                                                                                                                                              (bottom left).

                 http://www.cdph.ca.gov/certlic/birthdeathmar/P
                                                                                                                                                                      Must check box for 'Certified
   California    ages/CertifiedCopiesofBirthDeathRecords.asp               12 weeks             Yes              Yes               No                 Yes
                                                                                                                                                                                Copy'.
                                       x
                                                                                                                                                                     Client to complete 'Registrant
    Colorado      http://www.cdphe.state.co.us/certs/bicert.pdf           2-3 weeks             Yes              Yes               No                 No
                                                                                                                                                                            Information' only.
                                                                      6 months, quicker to
                  http://www.ct.gov/dph/cwp/view.asp?a=3132&                                                                                                        Client to complete top portion of
  Connecticut                                                          go through town or       Yes              Yes             Yes, 18              No
                                    q=395338                                                                                                                                   request only.
                                                                           city of birth
                 http://www.dhss.delaware.gov/dhss/dph/ss/file
   Delaware                                                                    ?                Yes              Yes               No                 No                          NA
                                  s/birth.pdf

                 http://www.doh.state.fl.us/planning_eval/vital_s
     Florida     tatistics/DH_726_Birth_App_042507_interactiv             1-2 weeks             Yes              Yes               No                 No                          NA
                                      e.pdf

                                                                                                                                                                     Client not to complete mailing
                 http://health.state.ga.us/pdfs/vitalrecords/birth.
    Georgia                                                                    ?                No               Yes               No                 No              address portion of request
                                        pdf
                                                                                                                                                                            (bottom of page).



*Please allow an additional 1-2 weeks for processing at Oregon Family Planning Program office.
                                                                                   125b9fdf-21fd-4a22-a17c-df05b5385765.xls


                                                                       State Vital Records
                                                                                             Signature        Copy of ID          Age        Notary Signature
     State                        Request Form                         Office Processing                                                                               Additional Notes
                                                                                             Required?        Required?       Requirement?      Required?
                                                                              Time*
                                                                                                                                                                Client not to complete portion for
                        http://www.hawaii.gov/health/vital-
     Hawaii                                                                4-6 weeks            Yes              Yes              No               No           'mailing to a location other than
                                records/pdf/birth.pdf
                                                                                                                                                                              above'.
                 http://www.healthandwelfare.idaho.gov/Portals/                                                                                                 Client not to complete mailing
     Idaho       _Rainbow/Documents/health/StandardApplicat                1-2 weeks            Yes              Yes              No               No           address portion of request (top
                                   ion906.pdf                                                                                                                              of page).
                                                                                                                                                                 Client not to complete mailing
                 http://www.idph.state.il.us/vitalrecords/vital/pdf/
     Illinois                                                               6 weeks             Yes              Yes            Yes, 18            No             address portion of request
                                   birthfrm.pdf
                                                                                                                                                                          (bottom right).
                                                                                                                                                                 Client not to complete mailing
                 http://www.in.gov/icpr/webfile/formsdiv/49607.p
    Indiana                                                                3-4 weeks            Yes              Yes            Yes, 18            No             address portion of request
                                        df
                                                                                                                                                                        (bottom of page).
                 http://www.idph.state.ia.us/apl/common/pdf/vit
      Iowa       al_records/application_certified_copy_vital_rec           4-5 weeks            No               Yes            Yes, 18            No                          NA
                                     ord.pdf

    Kansas       http://www.kdheks.gov/vital/download/birth.pdf            1-2 weeks            Yes              Yes              No               No                          NA

                   http://chfs.ky.gov/NR/rdonlyres/9627347C-                                                                                                     Client not to complete mailing
   Kentucky                     B7B4-4ED4-AE87-                             4 weeks             Yes               No              No               No             address portion of request
                           8D02822D84FC/0/vs37II.pdf                                                                                                                    (bottom of page).

                  http://www.dhh.louisiana.gov/offices/publicatio                                                                                                Client not to complete mailing
   Louisiana                        ns/pubs-                                8 weeks             Yes              Yes              No               No             address portion of request
                  252/Birth_Death%20Ordering%20Packet.pdf                                                                                                               (bottom of page).

     Maine        http://www.maine.gov/dhhs/bohodr/birth1.htm               2 weeks             No                No              No               No                          NA


    Maryland      http://www.vsa.state.md.us/apps/abcapp.pdf               2-3 weeks            Yes              Yes              No               No                          NA




*Please allow an additional 1-2 weeks for processing at Oregon Family Planning Program office.
                                                                                125b9fdf-21fd-4a22-a17c-df05b5385765.xls


                                                                    State Vital Records
                                                                                          Signature        Copy of ID            Age        Notary Signature
     State                       Request Form                       Office Processing                                                                                 Additional Notes
                                                                                          Required?        Required?         Requirement?      Required?
                                                                           Time*
                                                                                                                                                                Client not to complete mailing
                 http://www.mass.gov/Eeohhs2/docs/dph/vital_r                                          No, unless born out
 Massachusetts                                                          3-4 weeks            No                                  No               No             address portion of request
                          ecords/mail_order_form.pdf                                                       of wedlock
                                                                                                                                                                       (bottom of page).

                                                                                                                                                               See request form for acceptable
                 http://michigan.gov/documents/birthapp_6360_                                                                                                  list of documents needed. Client
    Michigan                                                             4 weeks             Yes              Yes              Yes, 15            No
                                      7.PDF                                                                                                                    not to complete mailing address
                                                                                                                                                               portion of request (top of page).

                                                                                                                                                                Client not to complete mailing
                                                                                                                                                                 address portion of request
                  http://www.health.state.mn.us/divs/chs/osr/birt
   Minnesota                                                            4-6 weeks            Yes               No                No               Yes              (center of page). Notary
                               happandfeews.pdf
                                                                                                                                                                 signature provided on state
                                                                                                                                                                         request form.
                                                                                                                                                                Client not to complete mailing
                 http://www.msdh.state.ms.us/phs/forms/form5
   Mississippi                                                          2-3 weeks            Yes               No                No               No             address portion of request
                                    22.pdf
                                                                                                                                                                       (bottom of page).
                 http://www.dhss.mo.gov/BirthAndDeathRecord
    Missouri                                                            6-8 weeks            Yes              Yes                No               No                         NA
                                s/birthdeath.pdf
                                                                                                                                                                Client not to complete mailing
                 http://vhsp.dphhs.mt.gov/certificates/birthfax.p
    Montana                                                             2-3 weeks            Yes              Yes                No               No             address portion of request
                                       df
                                                                                                                                                                       (bottom of page).
                                                                                                                                                                Client not to complete mailing
   Nebraska          http://www.hhs.state.ne.us/ced/birth.pdf           3-4 weeks            Yes              Yes                No               No             address portion of request
                                                                                                                                                                       (bottom of page).
                                                                                                                                                                Client not to complete mailing
                 http://health.nv.gov/forms/formtypes/birthcerta
    Nevada                                                              6-8 weeks            Yes              Yes                No               No             address portion of request
                                      pp.pdf
                                                                                                                                                                       (bottom of page).
                                                                                                                                                                Client not to complete mailing
                 http://www.sos.nh.gov/vitalrecords/General_Inf
New Hampshire                                                           3-4 weeks            Yes              Yes                No               No             address portion of request
                                 o/BirthApp.pdf
                                                                                                                                                                       (bottom of page).
  New Jersey      http://www.state.nj.us/health/forms/reg-3.pdf        12-14 weeks           Yes              Yes                No               No                         NA




*Please allow an additional 1-2 weeks for processing at Oregon Family Planning Program office.
                                                                                   125b9fdf-21fd-4a22-a17c-df05b5385765.xls


                                                                       State Vital Records
                                                                                             Signature        Copy of ID          Age            Notary Signature
     State                        Request Form                         Office Processing                                                                                       Additional Notes
                                                                                             Required?        Required?       Requirement?          Required?
                                                                              Time*
                                                                                                                                                                        Client not to complete mailing
                  http://dohewbs2.health.state.nm.us/VitalRec/W
  New Mexico                                                               3-4 weeks            Yes              Yes                No                   No              address portion of request
                             eb%20Birth%20Appl..pdf
                                                                                                                                                                               (bottom of page).
 New York City
 (For births in
  Manhattan,                                                                                                                  18 or notarized     Yes, to authorize    Notarized statement required to
                 http://www.nyc.gov/html/doh/downloads/pdf/vr/
   Brooklyn,                                                                   ?                Yes              Yes           signature of     release of certificate authorize release of certificate to
                                   birth1.pdf
  Queens, the                                                                                                                     parent            to 3rd party.                  3rd party
Bronx, or Staten
  Island only)
New York State
                                                                                                                                                  Yes, to authorize    Notarized statement required to
  (For births  http://www.health.state.ny.us/vital_records/for
                                                                           3-4 weeks            Yes              Yes                No          release of certificate authorize release of certificate to
outside of NYC               ms/doh-4380.pdf
                                                                                                                                                    to 3rd party.                  3rd party
     only)
                                                                                                                                                                        Client not to complete mailing
                  http://vitalrecords.dhhs.state.nc.us/vr/pdf/bcerti
 North Carolina                                                            6-8 weeks            Yes               No                No                   No              address portion of request
                                      ficatapp.pdf
                                                                                                                                                                               (bottom of page).
                                                                                                                                                                        Client not to complete mailing
 North Dakota       http://www.health.state.nd.us/vital/birth.pdf          2-3 weeks            Yes               No                No                   No              address portion of request
                                                                                                                                                                               (center of page).
                                                                                                                                                                        Client not to complete mailing
                  http://www.odh.ohio.gov/pdf/forms/hea2709.pd
      Ohio                                                                 3-6 weeks            Yes               No                No                   No              address portion of request
                                        f
                                                                                                                                                                               (bottom of page).
                                                                                                                                                                        Client not to complete mailing
                  http://www.health.state.ok.us/program/vital/vs1
   Oklahoma                                                                 8 weeks             Yes              Yes                No                   No            address portion on back page of
                                   51R9-03.pdf
                                                                                                                                                                                    request.




*Please allow an additional 1-2 weeks for processing at Oregon Family Planning Program office.
                                                                                 125b9fdf-21fd-4a22-a17c-df05b5385765.xls


                                                                     State Vital Records
                                                                                           Signature        Copy of ID           Age         Notary Signature
     State                        Request Form                       Office Processing                                                                                      Additional Notes
                                                                                           Required?        Required?        Requirement?       Required?
                                                                            Time*
                                                                                                                                                                       If no acceptable form of ID,
                                                                                                                                                                        must complete statement
                                                                                                                                                                    (http://www.dsf.health.state.pa.u
                                                                                                                                                                    s/health/lib/health/old_dir/vitalrec
                  http://www.dsf.health.state.pa.us/health/lib/hea
                                                                                                                                                                    ords/forms/pdfs/Statement_from
 Pennsylvania     lth/old_dir/vitalrecords/forms/pdfs/Birth_by_mai       3-4 weeks            Yes              Yes             Yes, 18               No
                                                                                                                                                                      _Requestors.pdf) & provide 2
                                          l.pdf
                                                                                                                                                                        documents with address &
                                                                                                                                                                      name. Client not to complete
                                                                                                                                                                        mailing address portion of
                                                                                                                                                                           request (top of page).
                                                                                                                                                                     Client not to complete mailing
                  http://www.health.ri.gov/chic/vital/Birth_Web.p
  Rhode Island                                                            6 weeks             Yes              Yes               No                  No               address portion of request
                                         df
                                                                                                                                                                            (bottom of page).
                                                                                                                                                                     Client not to complete mailing
                  http://www.scdhec.gov/administration/library/D-
 South Carolina                                                           4 weeks             Yes              Yes               No                  No               address portion of request
                                    0640.pdf
                                                                                                                                                                              (bottom right).
                  http://doh.sd.gov/VitalRecords/Forms/BirthRec
 South Dakota                                                            4-5 weeks            Yes              Yes               No                  No                             NA
                                    ordApp.pdf
                                                                                                                                                                     Client not to complete mailing
                                                                                                                                                                        address portion of request
                                                                                                         Yes, or notarized                  Yes, or copy of photo     (bottom of page). If providing
   Tennessee          http://health.state.tn.us/vr/ph-1654.pdf           5-6 weeks            Yes                                No
                                                                                                            signature                                ID                notary signature, use empty
                                                                                                                                                                     portion of box on Authorization
                                                                                                                                                                                   form.
                                                                                                                                                                     Client not to complete section
                  http://www.dshs.state.tx.us/vs/reqproc/forms/v
     Texas
                                   s142.3.pdf
                                                                         2-3 weeks            Yes              Yes               No                  No               below #13 indicating 3rd party
                                                                                                                                                                            mailing address.
                                                                                                                                                                     Client not to complete mailing
                  https://silver.health.utah.gov/applications/04%2
      Utah                                                               2-3 weeks            Yes              Yes               No                  No                 address portion of request
                                      0BIRTH.pdf
                                                                                                                                                                              (bottom right).




*Please allow an additional 1-2 weeks for processing at Oregon Family Planning Program office.
                                                                               125b9fdf-21fd-4a22-a17c-df05b5385765.xls


                                                                   State Vital Records
                                                                                         Signature        Copy of ID           Age         Notary Signature
     State                       Request Form                      Office Processing                                                                                    Additional Notes
                                                                                         Required?        Required?        Requirement?       Required?
                                                                          Time*
                  http://www.bgs.state.vt.us/gsc/pubrec/referen/
    Vermont                                                                ?                 No               No               No                  No                          NA
                                 birth_death.pdf

                 http://www.vdh.state.va.us/Vital_Records/mail_
    Virginia                                                           2-4 weeks            Yes              Yes               No                  No                          NA
                             it.htm?mode=printable
                                                                                                                                                                  Client not to complete mailing
                   http://www.doh.wa.gov/EHSPHL/CHS/110-
  Washington                                                            6 weeks              No               No               No                  No              address portion of request
                                 039_mail.pdf
                                                                                                                                                                         (bottom of page).

              http://www.dchealth.dc.gov/doh/cwp/view,a,3,q                                                                                                       Client not to complete mailing
Washington DC ,573401,dohNav_GID,1787,dohNav,|33120|33                  2 weeks             Yes              Yes               No                  No              address portion of request
                                 139|.asp                                                                                                                                (bottom of page).

                                                                                                                                                                  Client not to complete mailing
                 http://www.wvdhhr.org/bph/oehp/hsc/vr/birthfm
 West Virginia                                                         2-3 weeks            Yes               No             Yes, 18               No              address portion of request
                                     2.pdf
                                                                                                                                                                         (bottom of page).

                 http://dhfs.wisconsin.gov/forms/dph/dph05291.
   Wisconsin                                                           4-5 weeks            Yes               No               No                  No                          NA
                                        pdf

                                                                                                                                                                  Client not to complete mailing
                                                                                                                                                                     address portion of request
                 http://wdh.state.wy.us/Media.aspx?mediaId=15                                          Yes, or notarized                  Yes, or copy of photo    (bottom of page). If providing
   Wyoming                                                              2 weeks             Yes                                No
                                        09                                                                signature                                ID               notary signature, use empty
                                                                                                                                                                  portion of box on Authorization
                                                                                                                                                                               form.




*Please allow an additional 1-2 weeks for processing at Oregon Family Planning Program office.

				
DOCUMENT INFO
Description: Montana Birth Certificates document sample