Transcription of County of San Diego Health and Human Services Agency ...
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County of San Diego Health and Human Services Agency ...
Please complete the reverse of this page County of San Diego Health and Human Services Agency Public Health Services Office of Vital Records and Statistics APPLICATION FOR A DEATH CERTIFICATE, DISPOSITION OF Human . REMAINS,OR CERTIFICATION OF NO PUBLIC RECORD. $ Fee per Certificate/$ per Burial Permit California State Law, Health and Safety Code, Section 103526, permits only authorized individuals as listed on the application to receive certified copies of Death Records. Those FOR OFFICIAL USE ONLY. who are not authorized by Law to receive a certified copy will receive an informational Type of identification provided, if processed in person: certified copy marked INFORMATIONAL, NOT A VALID DOCUMENT TO ESTABLISH.
APPLICATION FOR A DEATH CERTIFICATE, DISPOSITION OF HUMAN REMAINS,OR CERTIFICATION OF NO PUBLIC RECORD $24.00 Fee per Certificate/$12.00 per Burial Permit ... Type of Identification produced _____ A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this ...
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