44:09:06:04Application

form requirements. To request a certified or informational copy of a vital record, the applicant shall provide the following information on an application form prescribed by the Department of Health or via a method that allows for authentication of the requestor: (1) Applicant's full name; (2) Current home or business address; (3) Signature of the applicant or electronic authentication; (4) Current telephone number, if applicable; (5) Type of vital record requested; (6) For a certified copy only, a statement of the relationship of the applicant to the registrant; (7) For a birth record only, the name of the record, the date of birth and the mother's maiden name, or enough information to locate the record; and (8) For any death, marriage, or divorce record, enough information to locate the record.

Source: 31 SDR 213, effective July 4, 2005.