(1) Each application for a certified copy of a vital record should be on a department-approved application form. Written applications not using the department-approved application form must contain the applicant's name, signature, address, and the purpose for which the certified copy is needed. All applications must include either a copy of the requestor's valid identification, or the requestor's signature on the application must be notarized.

(2) For a certified or noncertified copy of a birth record, in addition to the requirements of (1), the request must include:

(a) the registrant's full name and date of birth;

(b) the place (town or rural location, and county) of birth;

(c) the mother's full maiden name (first, middle, and last);

(d) the father's full name, if available; and

(e) the applicant's relationship to the registrant.

(3) For a certified or noncertified copy of a death record, in addition to the requirements of (1), the application must include:

(a) the registrant's full name;

(b) the date of death; and

(c) the county of death.

(4) Upon request, the department will provide a list of acceptable forms of identification needed from the requestor.