Vital Records

BIRTH CERTIFICATE:

NEW, AS OF OCT. 1, 2006.
You must have a picture ID or two other forms of identification. One MUST have a signature. Check for appropriate approved identifications to save time.

MONTANA VITAL STATISTICS
111 N. SANDERS RM 209 / P.O.BOX 4210
HELENA, MONTANA 59604-4210 406-444-2685

PLEASE READ THESE INSTRUCTIONS CAREFULLY

WHO CAN ORDER A BIRTH CERTIFICATE?

Only those authorized by 50-15-121 MCA, which includes the registrant (14 years old or older), the registrant’s spouse, children, parents, or guardian, or 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, or authorization is required may obtain certify copy of a birth record. Step-relatives, in-laws, grandparents, 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.

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 costis $10.00. (non-refundable)

http://vhsp.dphhs.mt.gov/certificates/birthappfillable.pdf This is the actual form in this pdf link above.

*******SEE THE BACK OF THIS APPLICATION FOR A LIST OF ACCEPTABLE IDENTIFICATION*****get the real form***

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)

SHIPPING credit card orders only)

After October 1, 2006

$10.50 shipping and handling fee (for fax or credit card orders only)

$18.00 for Express Courier weekday delivery in the continental United States. (for

fax or credit card orders only)

$25.00 for Express Courier weekday delivery to Alaska and Hawaii. (for fax or

credit card orders only)

Method of Delivery: Regular Mail Express Courier (cannot be delivered to a PO BOX) (package must be signed for)

Credit Card # ___________________________________________________________________________ Expiration Date _____________________

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 the basis of satisfactory evidence to be the signer of the above

instrument.

Subscribed and sworn to before me this__________ day of _______________ 20____

Signature: ____________________________________

Printed Name: __________________________________

SEAL Notary Public in and for the State of _________________

Residing at _________My commission Expires_________

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)

Official Use Only

Date ____________________________________

Rec# ___________________________________

Amount _________________________________

Cert #___________________________________

Ser #____________________________________

Comment _______________________________

________________________________________

http://vhsp.dphhs.mt.gov/certificates/ordercertificates.shtml Link for the PDF

The following contacts may be used to assist you:

For general questions on how to obtain a birth or death certificate, and individual marriage and divorce information, please contact: Montana Dept.of Public Health and Human Services
Office of Vital Statistics at (406) 444-2685 or (406) 444-4252 E-mail us at HHSVitalRecords@mt.gov
(Note: Applications are not accepted via E-mail.)

Death application: use this link: http://vhsp.dphhs.mt.gov/certificates/ordercertificates.shtml

Remember to hit the BACK button to come back here.

Welcome Big Horn County Genealogy Trails History Group. My name is Jo Ann Boyd Scott and as your host I try to post as much data online online as possible in order to make it freely available to all. I grew up in Big Horn County and it is a special place.
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All data on this website is © Copyright 2007-2008 by Genealogy Trails
with full rights reserved for original submitters. E-Mail Jo Ann