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Blank Colorado Denver Application Birth Certificate PDF Form

The Colorado Denver Application Birth Certificate form is a crucial document for individuals seeking certified copies of birth records in Denver County. This form allows residents to request birth certificates for anyone born in Colorado since 1907, ensuring that vital information is easily accessible. Understanding how to complete and submit this application can simplify the process of obtaining essential records for personal, legal, or administrative purposes.

Obtaining a birth certificate in Denver, Colorado, is a straightforward process, facilitated by the Denver Vital Records office. This application form is essential for anyone seeking a certified copy of a birth certificate, whether for personal use, legal matters, or other official requirements. The form requires detailed information about the individual whose birth certificate is being requested, including their full name at birth, date of birth, and place of birth. If the individual is deceased, additional documentation, such as a death certificate, must be provided. It’s important to note that only individuals with a direct and tangible interest in the record can request it, as outlined by Colorado law. Applicants must sign the form, acknowledging the penalties for fraudulent requests, which can include hefty fines or imprisonment. To ensure a smooth process, a copy of the requestor's identification must accompany the application. The Denver Vital Records office offers multiple ways to order a birth certificate: in person for same-day service, online through VitalChek, via fax with credit card information, or by mailing in the application with payment. Each method has specific processing times and fees, which are clearly stated on the form. Understanding these aspects can help streamline the application process and ensure that you receive the necessary documentation promptly.

Document Example

Ways to order:

DENVER HEALTH

Denver Vital Records

605 Bannock St. Room 302 Denver, Colorado 80204-4507

303- 602-3660

www.denverhealth.org/vitalrecords

Application for Certified Copy of Birth Certificate

Denver County Vital Records has birth records for the entire state since 1907.

Information about person whose birth certificate is requested — please type or print. IF ADOPTED , provide adoptive information.

 

 

 

First

 

 

 

Middle

 

Last (s)

Full name at birth

 

 

 

 

 

 

 

 

 

Date of birth

Month

 

Day

 

Year

 

 

Yes

No

 

 

Is this person deceased?

 

 

 

 

 

 

 

 

 

 

 

 

If yes, date: ____/____/____

State where death occurred: ____________________

 

 

 

 

 

 

 

 

Please provide copy of death certificate

Place of birth

 

 

 

City

 

C o u n t y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full name of father

 

 

First

 

 

 

Middle

 

Last (s)

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

 

Middle

 

Maiden (s)

Maiden name of mother:

 

 

 

 

 

 

 

 

 

Certificate needed for

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pursuant to Colorado Revised Statutes, 1982, 25-2-118 and as defined by Colorado Board of Health Rules and Regulations, applicant must have a direct and tangible interest in the record requested. The penalties for obtaining a record under false pretenses include a fine of not more than $1 ,000.00, or imprisonment in the county jail for not more than one year or both such fine and imprisonment (CRS 25-2-118)

By signing below, I have read and understood that there are penalties for obtaining a record under false pretenses.

Effective 7/1/2003, all requests must be accompanied by a copy of the requestor's identification before processing. Please return your request with a copy of your driver's license, state ID or passport. See reverse side for additional accepted documents.

Signature of person making request

 

Relationship to registrant*

Driver's License #

State of License

Expiration Da te

 

 

 

 

 

 

 

Address

City

State

Zip

 

Daytime Phone

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 Apply in person for same day service. Office hours are from 8: 0 0 a.m. to 4.00 p.m., Monday-Friday.

 Order certificates online* at www.VitalChek.com. Certificates mailed within 2 to 5 days business days via regular mail, UPS 1 to 2 business days.

 Fax your application with credit card information**: fax 303-602-3665

 Mail in application with check, money order, or credit card information **. Certificate (s) mailed within 3 to 4 weeks via regular mail. * * Convenience charge to be added. See charges below.

Credit card orders:

Card Type:

VISA

MasterCard

Discover

 

 

 

Cardholder name:___________________________________________________________

Total copies ordered

 

 

Card Number:

______________________________________ Exp Date ________

 

 

 

 

 

 

 

 

 

 

 

 

c

S t a

Make check or money order payable to Vital Records Section. Please do not send cash.

PLEASE COMPLETE THIS AREA

PRINT name and address of person making request:

Name

Address

City/State/Zip

**Charges

Cost of certificates ($17.75 for 1st copy or search when no record found); $10 for each additional copy of same record ordered at same time) .....................

Convenience charge (credit card orders

$10.00) Walk in excluded .....................

*UPS Service with

CREDIT CARD ORDERS ONLY ($19)

Total Charges.......................................

*Within continental U.S.

$

$_________

$ ________

Documents used along the form

When applying for a birth certificate in Denver, several other forms and documents may be needed to support your request. Each of these documents plays a crucial role in ensuring that the application process runs smoothly. Here’s a brief overview of some common forms and documents associated with the Colorado Denver Application Birth Certificate form.

  • Death Certificate: If the individual whose birth certificate is being requested is deceased, a copy of their death certificate must be provided. This document verifies the death and is essential for processing the application.
  • Identification: A valid form of ID, such as a driver's license, state ID, or passport, is required. This helps confirm the identity of the person making the request and ensures compliance with legal regulations.
  • Adoption Records: For individuals who were adopted, any relevant adoption records should be submitted. These documents provide necessary information about the adoptive parents and the adoption process.
  • Florida Lottery DOL-129 Form: To become an authorized lottery retailer in Florida, you must complete the click here for the pdf and submit it with the application fee, ensuring compliance with all regulatory requirements.
  • Proof of Relationship: If the applicant is not the individual named on the birth certificate, proof of relationship may be needed. This could include documents like marriage certificates or legal guardianship papers.
  • Application for Certified Copy: This is the actual form filled out to request the birth certificate. It includes personal information about the registrant and the applicant.
  • Payment Method: Depending on how you choose to pay, you may need to include a credit card authorization form or a check/money order. This ensures that the fees for the certificate are covered.
  • Requestor’s Address: A complete address for the person making the request is necessary. This is where the birth certificate will be mailed once processed.
  • Contact Information: Providing a daytime phone number allows the Vital Records office to reach you if there are any questions or issues with your application.
  • Additional Documentation: Depending on the specific circumstances, other documents may be required. Always check with the Vital Records office for any additional requirements.

Having the right forms and documents ready can significantly speed up the process of obtaining a birth certificate. Be sure to review each requirement carefully to ensure a smooth application experience.

How to Fill Out Colorado Denver Application Birth Certificate

After completing the Colorado Denver Application Birth Certificate form, you can submit it through various methods, including in-person, online, by fax, or by mail. Ensure you have all required documents and payment ready to avoid delays in processing your request.

  1. Obtain the Colorado Denver Application Birth Certificate form from the Denver Vital Records website or office.
  2. Type or print the full name of the person whose birth certificate is being requested. Include first, middle, and last names.
  3. Fill in the date of birth in the format of month, day, and year.
  4. Indicate if the person is deceased by checking "Yes" or "No." If "Yes," provide the date of death and the state where the death occurred.
  5. List the place of birth, including the city and county.
  6. Provide the full name of the father, including first, middle, and last names.
  7. Fill in the mother's full name, including first, middle, maiden names, and any other relevant information.
  8. State the purpose for requesting the certificate.
  9. Read the statement regarding penalties for obtaining a record under false pretenses, and sign the form to acknowledge your understanding.
  10. Include a copy of your identification, such as a driver's license, state ID, or passport.
  11. Provide your relationship to the registrant.
  12. Fill in your driver's license number, state of license, expiration date, address, city, state, zip code, and daytime phone number.
  13. Choose your preferred method of payment and fill in the necessary details, including credit card information if applicable.
  14. Complete the area for the name and address of the person making the request.
  15. Review the form for accuracy and completeness before submission.

Similar forms

The Colorado Denver Application for Birth Certificate shares similarities with the Death Certificate Application. Both documents require specific information about the individual in question, including full name, date of birth or death, and place of birth or death. Each application mandates proof of identity from the requester, ensuring that only those with a legitimate interest can access these sensitive records. Additionally, both applications include a section for the relationship of the requester to the individual, reinforcing the need for a direct connection to the record being requested.

Another document akin to the Birth Certificate Application is the Marriage License Application. Like the birth certificate application, this form necessitates personal details about the individuals involved, such as full names and identification. Furthermore, both applications require the applicants to provide proof of identity, which may include a government-issued ID. Both documents are crucial for legal recognition of personal milestones, reflecting the importance of accurate record-keeping in vital life events.

The Divorce Decree Application also bears resemblance to the Birth Certificate Application. Each document requires the applicant to provide personal information, including names and identification details. Both applications serve as official records that can impact legal rights and responsibilities. The need for the requester to demonstrate a valid reason for obtaining the document is common to both, ensuring that sensitive information is not accessed without justification.

Similar to the Birth Certificate Application, the Social Security Card Application requires personal identification and verification. Both documents demand the submission of personal details, including full names and dates of birth. They also emphasize the importance of protecting sensitive information, requiring applicants to prove their identity to prevent fraudulent activity. In both cases, the records serve essential functions in establishing identity and legal status within the U.S. system.

The Passport Application is another document that shares characteristics with the Birth Certificate Application. Both require comprehensive personal information, including full name, date of birth, and place of birth. Additionally, both applications necessitate proof of identity, which may include a birth certificate itself or other legal documents. These records are vital for travel and identification purposes, underscoring their significance in both domestic and international contexts.

Similarly, the Adoption Certificate Application parallels the Birth Certificate Application in its need for detailed personal information. Both documents require the applicant to provide their relationship to the individual, as well as proof of identity. The adoption process often involves the issuance of a new birth certificate, making the connection between these two documents particularly relevant. Both forms are designed to ensure that sensitive information is accessible only to those with a legitimate interest.

In the realm of vehicle ownership transfer, understanding the documentation involved is crucial, particularly when utilizing the topformsonline.com/texas-motor-vehicle-bill-of-sale/ form, which serves as a legal instrument that ensures a smooth and precise change of ownership between parties, safeguarding their rights and interests while detailing vital information about the vehicle and transaction.

The Voter Registration Application is another document that resembles the Birth Certificate Application. Both require personal identification and details such as full name and date of birth. Each application plays a crucial role in establishing identity and eligibility for participation in civic duties. The verification process is essential in both cases, as it helps maintain the integrity of the records and ensures that only qualified individuals can access certain rights and privileges.

Lastly, the Medical Records Release Form shares similarities with the Birth Certificate Application. Each document requires the individual’s personal information and proof of identity to access sensitive records. Both forms emphasize the importance of confidentiality and the need for direct interest in the information being requested. The careful handling of personal data in both applications reflects a commitment to protecting individual privacy while allowing access to essential information.

Frequently Asked Questions

What information is required to complete the Colorado Denver Application for a Birth Certificate?

To successfully fill out the application, you need to provide specific details about the individual whose birth certificate you are requesting. This includes:

  • Full name at birth (first, middle, last)
  • Date of birth (month, day, year)
  • Place of birth (city and county)
  • Full names of both parents (first, middle, last for the father; first, middle, maiden for the mother)
  • If applicable, indicate if the individual is deceased and provide the date and state of death

If the person has been adopted, it is important to include adoptive information as well.

How can I submit my application for a birth certificate?

There are several convenient ways to submit your application:

  1. In-person: Visit the Denver Vital Records office at 605 Bannock St., Room 302, during office hours (Monday-Friday, 8:00 a.m. to 4:00 p.m.) for same-day service.
  2. Online: You can order certificates through www.VitalChek.com . Certificates will be mailed within 2 to 5 business days.
  3. Fax: Send your application along with credit card information to 303-602-3665.
  4. Mail: Complete the application and send it with a check, money order, or credit card information. Expect a processing time of 3 to 4 weeks for mailed requests.

What identification is needed to request a birth certificate?

When submitting your application, you must include a copy of your identification. Acceptable forms include:

  • Driver's license
  • State ID
  • Passport

This requirement ensures that only individuals with a direct and tangible interest in the record can obtain it. Failure to provide identification may delay the processing of your request.

What are the fees associated with obtaining a birth certificate?

The fees for obtaining a birth certificate in Denver are as follows:

  • $17.75 for the first copy or search when no record is found
  • $10 for each additional copy of the same record ordered at the same time
  • A convenience charge of $10 applies to credit card orders (walk-in orders are exempt)
  • For UPS service with credit card orders, an additional fee of $19 is charged

Make sure to include the total charges when submitting your application to avoid processing delays.

What are the consequences of providing false information on the application?

Providing false information on the application for a birth certificate is a serious offense. According to Colorado Revised Statutes, penalties may include:

  • A fine of up to $1,000
  • Imprisonment in the county jail for up to one year
  • Both a fine and imprisonment

By signing the application, you acknowledge that you understand these penalties, emphasizing the importance of honesty when requesting vital records.

Dos and Don'ts

When filling out the Colorado Denver Application Birth Certificate form, it’s important to follow specific guidelines to ensure your application is processed smoothly. Here are some dos and don’ts to keep in mind:

  • Do provide accurate and complete information about the person whose birth certificate you are requesting.
  • Do include the full name at birth, date of birth, and place of birth.
  • Do indicate whether the person is deceased and provide the necessary details if applicable.
  • Do sign the application to acknowledge that you understand the penalties for false information.
  • Do attach a copy of your identification, such as a driver's license or passport, before submitting the application.
  • Don't forget to include your contact information, including your daytime phone number.
  • Don't submit cash with your application; use a check or money order instead.
  • Don't leave any required fields blank; incomplete applications may delay processing.
  • Don't forget to check the fees for obtaining copies and include the correct payment method.