Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64V - Vital Statistics › Chapter 64V-1 - VITAL RECORDS AND ASSOCIATED ACTIVITIES › Part VII - CERTIFICATIONS OF VITAL RECORDS AND FEES FOR SERVICES › Section 64V-1.0131 - Certifications of Vital Records; Information Required for Release; Applicant Identification Requirements

Current through Reg. 50, No. 138; July 16, 2024
(1) All
				  requests for certifications of vital record events listed below shall be
				  submitted on the applications identified below or by submitting a request in
				  writing that includes the information outlined in subsections (2) through (4),
				  below. Applications and forms are available from the Department of Health,
				  Bureau of Vital Statistics, P.O. Box 210, Jacksonville, Florida 32231-0042.
				  Commemorative Birth and Marriage Certificates and Certificates of Birth
				  Resulting in Stillbirth are created and issued only from the Bureau of Vital
				  Statistics for purposes of display and are not intended to be used as official
				  certifications.
(a) Application for Florida
				  Birth Record, DH 726 (04/16), available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-07206
,
				  or an Application for Florida Birth Record - County Use, DH 1960 (04/16),
				  available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-07207
,
				  or tax collector office Application for Florida Birth Record, DH 1960TC
				  (04/16), available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-07208
,
				  all of which are incorporated by reference. In the case of a homeless child or
				  youth as those terms are defined in
				  42 U.S.C. section
				  11434a of the McKinney-Vento Homeless
				  Assistance Act of 2001, a Certified Homeless Youth Eligibility Certification,
				  DH 5076, Apr. 2015, incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05911
,
				  must accompany the application.
(b)
				  Application for Florida Death or Fetal Death Record, DH 727, Jan. 2015,
				  available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05912
,
				  or an Application for a Florida Death Record - County Use, DH 1961, June 2013,
				  available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05967
,
				  both incorporated by reference.
(c)
				  Application for a Marriage Record for Licenses Issued in Florida, DH 261, Jan.
				  2015, incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05914
.
(d) Application for Dissolution of Marriage
				  Report Granted in Florida, DH 260, Jan. 2015, incorporated by reference and
				  available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05915
.
(e) Application for Florida Certificate of
				  Birth Resulting in Stillbirth, DH 728 (04/16), incorporated by reference and
				  available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-07211
.
(f) Application for Dissolution of Marriage
				  Report (Divorce or Annulment) Granted in Florida (Apostille or Exemplified), DH
				  260A, Jan. 2015, incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05917
.
(g) Application for a Marriage Record for
				  Licenses Issued in Florida (Apostille or Exemplified), DH 261A, Jan. 2015,
				  incorporated by reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05918
.
(h) Application for Florida Commemorative
				  Marriage Certificate, DH 261C, Jan. 2015, incorporated by reference and
				  available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05919
.
(i) Application for a Florida Death or Fetal
				  Death Record (Apostille or Exemplified), DH 727A, Jan. 2015, incorporated by
				  reference and available at
http://www.flrules.org/Gateway/reference.asp?No=Ref-05920
.
(j) Application for a Florida Birth Record
				  (Apostille or Exemplified), DH 726A (04/16), incorporated by reference and
				  available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-07209
.
(k) Application for Florida Commemorative
				  Birth Certificate, DH 726C (04/16), incorporated by reference and available at
https://www.flrules.org/Gateway/reference.asp?No=Ref-07210
.