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Application For a Search For An Iowa Vital Record Form. This is a Iowa form and can be use in Polk Local County.
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Tags: Application For a Search For An Iowa Vital Record, Iowa Local County, Polk
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To Request a Search for an Iowa Birth, Death or Marriage Record for the Purpose of
Obtaining a Certified Copy
In Iowa, official registration of births, deaths, and marriages began July 1, 1880. Original
Records that were registered are on file with the Iowa Department of Public Health, Bureau
of Vital Records. Statewide record searches are available from the state registrar. Local
vital records registrars are located in county recorders’ offices, where records of births and
deaths that have occurred in that county are maintained. Marriage records are maintained
in the county where the license to marry was obtained. County registrars are not
authorized by law to have records of single-parent births prior to July 1, 1995; adoption;
delayed registrations; legal changes of name; fetal deaths (stillborns); any record ordered
sealed by a court of law; or birth, death, and marriages between the years 1921 to 1941.
Per Iowa law, information about a specific record is not available over the telephone or by
prepared lists. Iowa law provides for public viewing in the county where the record is
maintained, or certified copies issued to entitled persons.
Applications to search for a vital record event for the purpose of obtaining a certified
copy must be in writing, completely identify the record, establish entitlement to the record
being requested, and be accompanied by a current government-issued photo identification.
Entitled persons include the person named on the record or that person’s spouse, children,
legal parents, grandparents, grandchildren, siblings, or legal representative or guardian.
Legal guardians and representatives must also provide additional proof of guardianship or
representation. Applicants must be 18 or older.
A $15.00 fee is required to search for a record and includes one certified copy. Each
additional copy of the same record is also $15.00. If the record is not located, the applicant
receives a notification to that affect. The $15.00 search fee is not refundable. Fees are
payable in U.S. funds by check or money order to the issuing registrar’s office.
Written requests and fees may be mailed to the address below. Requests must state the
relationship to the person named on the record and the purpose for the copy. The
application must be signed in front of a notary public and include a clear photocopy
of the applicant’s current government-issued photo identification must accompany
the request.
Julie Haggerty
Vital Records Division
111 Court Avenue Ste 245
Des Moines IA 50309-2251
www.polkrecorder.com
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