Ariz. Admin. Code § R9-19-212 - Requesting a Noncertified Copy of a Certificate of Birth Registration
A. A noncertified
copy of a certificate of birth registration contains, as available, the
information specified in R9-19-210(A).
B. Except as provided in subsection (C), a
person who is conducting research may request a noncertified copy of an
individual's certificate of birth registration by submitting to the State
Registrar:
1. A written request, in a
Department-provided format, that includes:
a.
The name and mailing address of the person submitting the request;
b. Contact information for the person
submitting the request, which includes a telephone number or an e-mail
address;
c. The reason the person
is requesting a noncertified copy of the individual's certificate of birth
registration;
d. The information
required in R9-19-211(A)(1)(d) through (f); and
e. The dated signature of the person
submitting the request;
2. Documentation from the Department's Human
Subjects Review Board that the person is eligible to receive a non-certified
copy of the individual's certificate of birth registration; and
3. The fee in
R9-19-105 for the
noncertified copy of the individual's certificate of birth
registration.
C. A
person who is a family member, including a niece or nephew, of an individual,
who is conducting research for genealogical purposes, and who is of legal age
may request a noncertified copy of the individual's certificate of birth
registration by submitting to the State Registrar or a local registrar:
1. A written request, in a
Department-provided format, that includes:
a.
The name and mailing address of the person submitting the request;
b. Contact information for the person
submitting the request, which includes a telephone number or an e-mail
address;
c. The relationship
between the individual and the person submitting the request that makes the
person eligible to receive a noncertified copy of the individual's certificate
of birth registration;
d. The
information required in R9-19-211(A)(1)(d) through (f);
e. A statement that the person is conducting
research for genealogical purposes; and
f. The dated signature of the person
submitting the request, either:
i. With the
person's signature notarized; or
ii. Accompanied by a copy of a valid,
government-issued form of photo identification for the person that contains the
name, date of birth, and signature of the person;
2. Documentation demonstrating
that the person is eligible to receive a noncertified copy of the deceased
individual's certificate of birth registration that may include:
a. A copy of one or more certificates of
birth registration or certificates of death registration that show the person's
relationship to the individual or, if a parent's name is included in the
individual's registered birth record, the individual's parent; or
b. For births or deaths registered in
Arizona, information about the person or a related person whose birth or death
was registered in Arizona, such as the person's name, date of birth, or
parent's name and date of birth or date of death, that would enable the
Department to locate the registered birth record or registered death record of
the person or the related person; and
3. The fee in
R9-19-105 for the
noncertified copy of the individual's certificate of birth
registration.
D. A
governmental agency processing an adoption, a financial claim, a governmental
benefit application, or another form of compensation on behalf of an
individual, or having another official purpose for the noncertified copy of the
individual's certificate of birth registration may request a noncertified copy
of the individual's certificate of birth registration by submitting to the
State Registrar or a local registrar:
1. A
written request, on the governmental agency's letterhead paper or in a
Department-provided format, that includes:
a.
The name and address of the governmental agency;
b. The name of and contact information for
the governmental agency's designee for the request, which includes a telephone
number or an e-mail address;
c. The
information required in R9-19-211(A)(1)(d) through (f);
d. A description of the:
i. Action the governmental agency is taking
on behalf of the individual, or
ii.
Official purpose for which the governmental agency needs a certificate of the
individual's birth registration;
e. The reason the governmental agency is
requesting a noncertified copy of the individual's certificate of birth
registration; and
f. The dated
signature of the governmental agency's designee, accompanied by a copy of the
designee's identification badge from the governmental agency verifying that the
designee is an employee of the governmental agency; and
2. Unless the governmental agency is an
agency as defined in A.R.S. §
41-1001,
the fee in
R9-19-105 for the
noncertified copy of the individual's certificate of birth
registration.
Notes
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