1. (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.

   1. (a) Application for Florida Birth Record, DH 726 (04/16), available at HYPERLINK "https://www.flrules.org/Gateway/reference.asp?No=Ref-07206" 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 HYPERLINK "https://www.flrules.org/Gateway/reference.asp?No=Ref-07207" 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 HYPERLINK "https://www.flrules.org/Gateway/reference.asp?No=Ref-07208" 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 HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05911" http://www.flrules.org/Gateway/reference.asp?No=Ref-05911, must accompany the application.
   2. (b) Application for Florida Death or Fetal Death Record, DH 727, Jan. 2015, available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05912" 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 HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05967" http://www.flrules.org/Gateway/reference.asp?No=Ref-05967, both incorporated by reference.
   3. (c) Application for a Marriage Record for Licenses Issued in Florida, DH 261, Jan. 2015, incorporated by reference and available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05914" http://www.flrules.org/Gateway/reference.asp?No=Ref-05914.
   4. (d) Application for Dissolution of Marriage Report Granted in Florida, DH 260, Jan. 2015, incorporated by reference and available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05915" http://www.flrules.org/Gateway/reference.asp?No=Ref-05915.
   5. (e) Application for Florida Certificate of Birth Resulting in Stillbirth, DH 728 (04/16), incorporated by reference and available at HYPERLINK "https://www.flrules.org/Gateway/reference.asp?No=Ref-07211" https://www.flrules.org/Gateway/reference.asp?No=Ref-07211.
   6. (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 HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05917" http://www.flrules.org/Gateway/reference.asp?No=Ref-05917.
   7. (g) Application for a Marriage Record for Licenses Issued in Florida (Apostille or Exemplified), DH 261A, Jan. 2015, incorporated by reference and available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05918" http://www.flrules.org/Gateway/reference.asp?No=Ref-05918.
   8. (h) Application for Florida Commemorative Marriage Certificate, DH 261C, Jan. 2015, incorporated by reference and available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05919" http://www.flrules.org/Gateway/reference.asp?No=Ref-05919.
   9. (i) Application for a Florida Death or Fetal Death Record (Apostille or Exemplified), DH 727A, Jan. 2015, incorporated by reference and available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05920" http://www.flrules.org/Gateway/reference.asp?No=Ref-05920.
   10. (j) Application for a Florida Birth Record (Apostille or Exemplified), DH 726A (04/16), incorporated by reference and available at HYPERLINK "https://www.flrules.org/Gateway/reference.asp?No=Ref-07209" https://www.flrules.org/Gateway/reference.asp?No=Ref-07209.
   11. (k) Application for Florida Commemorative Birth Certificate, DH 726C (04/16), incorporated by reference and available at HYPERLINK "https://www.flrules.org/Gateway/reference.asp?No=Ref-07210" https://www.flrules.org/Gateway/reference.asp?No=Ref-07210.
2. (2) In the case of a request for a birth record, if the applicant is not an eligible person as identified in Section 382.025(1)(a), F.S., an Affidavit to Release a Birth Certificate, DH 1958, Aug. 2010, available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05923" http://www.flrules.org/Gateway/reference.asp?No=Ref-05923, or in the case of a death record including cause of death information, if the applicant is not an eligible person as identified in Section 382.025(2), F.S., an Affidavit to Release Cause of Death Information, DH 1959, Aug, 2010, available at HYPERLINK "http://www.flrules.org/Gateway/reference.asp?No=Ref-05924" http://www.flrules.org/Gateway/reference.asp?No=Ref-05924, both incorporated by reference, must be completed by an eligible person authorizing release of the birth record or cause of death information to the applicant.

3. (3) If a written request is submitted in lieu of the prescribed DH forms, the request shall include the following information:

   1. (a) Name of the person whose record is being requested and the relationship between the applicant and the person whose record is requested.
   2. (b) Date of the event or if date of event is unknown, the year(s) to be searched;
   3. (c) County or city where the birth or death occurred, if known;
   4. (d) If birth, the father’s/parent’s name when father/parent is named on the record; and full name of the mother/parent including name prior to first marriage, if applicable;
   5. (e) If death, name of surviving spouse, if applicable and known and the social security number of decedent, if known.

4. (4) A copy of valid photo identification must accompany the application or, if presented in person, department personnel must view the original accompanying photo identification for:

   1. (a) Birth less than 100 years old.
   2. (b) Death including cause of death less than 50 years old.
   3. (c) If requesting marriage record and if the requestor is named on the marriage record and the Social Security field for that person is also requested, then valid photo identification must accompany the request.
   4. (d) Primary forms of valid photo identification are: state driver’s license; military identification; passport, state issued identification card, resident alien card issued by the U.S. Department of Justice, Certificate of Naturalization, Department of Corrections or U.S. Department of Justice inmate identification card, pilot’s license or a concealed weapons license.
   5. (e) If valid unexpired photo identification as indicated in paragraph (4)(d), is not available, a minimum of three secondary types of identification may be submitted. Any document submitted must clearly establish the identity of the applicant and shall be reviewed for acceptability prior to issuance of confidential information. Examples of secondary documents are: vehicle registration, vehicle or health insurance cards, life insurance policy, vehicle title, employment photo identification card, school photo identification, U.S. military discharge papers, veteran’s administration card, social security card, marriage license, copies of children’s birth records, property tax bill, WIC, Medicaid or other social services form of identification, or other similar documents if they are helpful in establishing identity and are acceptable to the state registrar.

Rulemaking Authority 382.003(7), (10), 382.0085, 382.025, 382.0244(1)(a), 382.026 FS. Law Implemented 382.0085, 382.0135, , 382.025, 382.0255, 382.026 FS. History–New 11-11-98, Amended 2-29-04, 12-12-06, 5-13-08, 10-27-15, 7-31-16.