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REG-27, Application for Non-Genealogical …

REG-27a SEP 17 FOR STATE USE ONLY Payment Type: Cash M/O Chec k W aived Amount: $ ID Viewed Processed By: Application FOR A Non-Genealogical CERTIFICATION OR CERTIFIED COPY OF A VITAL record Certified Copy Certified Copy for an Apostille Seal Certification Requestor s Relationship to Person on record (proof is required for certified copy) Requestor s Signature Date (of request) Middle First Last Reasons for Request Passport Driver s License School / Sports Veterans Benefits Social Security Card / Benefits Medicare Welfare / DisabilityOther.

– An Apostille Seal is an additional seal required for certain certified records that will be presented to a foreign government that is a member of the Hague Treaty.

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