Remarks: State office has had records since late 1907. Documents which are brought in without having been pre-checked or scheduled will be handled as mail-ins and will be processed in the order in which they arrived. requesting an Apostille/Authentication. Fax: (406) 582-2176. If it is dissolution of marriage, enter the place of marriage and indicate if child support is ordered. We are currently working with the Hague Convention to develop and adopt a fully electronic eApostille process for an end-to-end electronic experience. We are not able to accept incorrect payments. Here you can change your privacy preferences. A wiki article describing an online collection is found at: Montana, Cascade County Records - FamilySearch Historical Records. After receiving the subpoena, the requestor may request the record of interest using the appropriate request form and the relevant supporting documents. Once your records are downloaded, email them to [emailprotected] requesting an Apostille/Authentication. P.O. and indicate that the letter should be sent to the Secretary of States office for Apostille/Authentication. Also, access to certified marriage records is restricted to the persons named on the record and immediate family members. Cookies used to make website functionality more relevant to you. Applicants MUST provide a clear and readable copy of both sides of their current drivers license or other current government issued identification with signature. We strongly recommend that you use a priority mailing service that offers tracking capability. CAN I UNSTAPLE THE APOSTILLE AND EMAIL A COPY OF IT AND THE DOCUMENT TO THE REQUESTING COUNTRY? Box 4210 Helena . Room 260 Search for a Job. Box 4210 Helena, MT 59604 Remarks: State office has had records since late 1907. Birth Certificates -Dawson County is online with the office of vital statistics in Helena. Montana Capitol Building, Rm 260 of Public Health and Human Services Office of Vital Records HHSVitalRecords@mt.gov (Note: Applications are not accepted via E-mail.) The form may be mailed, faxed or delivered to the Office of Vital Records, Department of Public Health and Human Services, PO Box 4210, 111 N Sanders, Room 6, Helena, MT 59601, FAX (406) 444-1803. Not all departments or agencies are able send certified copies of your records directly to us. Usually, within 24 to 48 hours your certificate will be sent to Secretary of State office along with a copy of your email. When ordering a birth or death record that will need to be Apostilled/Authenticated, it is imperative that you clearly indicate whether you need a long-form or short form record, and also inform them that the document is to be forwarded to the Secretary of States Office. Information on how to obtain certified copies is also available via the Montana Department of Public Health and Human Services websiteExternal. Search for Vital records in the FamilySearch Catalog by using a. For instance, copies of marriage licenses can be gotten by email at GallatinCountyRecordsRequests@mt.gov or by sending a written request to the Gallatin County Clerk of District Court's office at: .css-ssatc0{font-style:normal;font-variant:normal;font-weight:400;font-size:14px;line-height:22px;font-family:"Arial",serif;color:#798796;font-weight:400;font-family:"Arial",serif;font-size:14px;line-height:22px;text-transform:none;font-style:italic;-webkit-text-decoration:none;text-decoration:none;}Law and Justice Center Record seekers who want to know how to find marriage records in Montana should contact the Montana Office of Vital Records. The .css-9c6ohv{font-style:normal;font-variant:normal;font-weight:400;font-size:14px;line-height:22px;font-family:"Arial",serif;color:#1b395e;text-transform:none;font-style:normal;-webkit-text-decoration:underline;text-decoration:underline;}.css-9c6ohv:hover{color:#d30000;}Montana Vital Statistics Code only grants eligible persons access to certified copies, including the registrant, immediate family members, and persons with legal authorization or permission to access the record. To find a record using the search engines on third party sites, the requesting party will be required to provide: In addition to providing information to facilitate the record search, requestors may also be required to present supporting documents relevant to the record retrieval process. The online service offers optional shipping via UPS at a verry reasonable price; if you choose to use this service, please use the address where you want the document to be sent after it has been Apostilled/Authenticated; use your address as the sender. They are created to provide an official account of vital events, and are useful for identification, research, policy implementation, genealogy, and legal/conflict-resolution purposes. The Montana Department of Public Health and Human Services is the state agency responsible for maintaining and issuing vital records such as birth certificates, death certificates, marriage licenses, and divorce decrees. [2], A wiki article describing an online collection is found at:Montana Marriages - FamilySearch Historical Records. The following contact may be used to assist you: Forgeneral questionson how to obtain a birth or death certificate, and individual marriage and divorce information, please contact: Montana Dept of Public Health and Human Services Office of Vital Records HHSVitalRecords@mt.gov (Note: Applications are not accepted via E-mail. Typically, informational copies of a record may be made available to interested members of the public. We ask that you provide a pre-paid shipping label or stamped envelope addressed to wherever you wish the document to be sent. Parents have the right to know their child and to contribute to that childs future success. A completed Application For Search Of Marriage & Divorce Indexes form must be submitted to the Office to conduct this search. P.O. Montana Office of Vital Statistics STATEMENT TO IDENTIFY CERTIFIED BIRTH OR DEATH CERTIFICATE APPLICANT To obtain a certified copy of a birth or death certificate when no official identifying documents are available, this statement must be completed by a witness that has known the applicant for at least two years. The State Department of Health has an index to marriages beginning in 1943. Additional copies of the same record requested at the same time are $8.00. We can only apostille or authenticate certified copies of official records issued in Montana within the last five years. These records have been kept by the clerk of the court in each county. Children who are supported by only one parent often do not have enough money to meet their basic needs. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Office of Public Instruction:http://opi.mt.gov/MTLicensingFAQ. 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210, Chief Human Resources Officer, Karol Anne Davis, Deputy Human Resources Officer, Ciarra Krantz, Civil Rights and EEO Officer, Lloyd Sparks, Risk Management and Safety Manager, Joe McAnally, 1400 Broadway, Rm C314, Helena, MT 59601-5231, Asthma and Diabetes Prevention and Control Programs, Nutritional and Physical Activity Program, 1400 Broadway, Room C202 Helena, MT 59601-5231 TOP, 1400 Broadway, Room B102 Helena, MT 59620, 1400 Broadway, Room C216 Helena, MT 69601-5231, 1400 Broadway, Room C216 Helena, MT 59601, Program Planning Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005 TOP, Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005, SEARCHS Interface Specialist, Stacy Reedy, Policy & Procedure Specialist, Jana Maier, Federal Tax Offset Specialist, Nicole Lay, Employer Relations Specialist, Shawn Rafferty, New Hire Directory Specialist, Gary Dahlquist, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620 TOP, Food Distribution/Commodity Warehouse Program 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena MT 59620-2956 TOP, Energy & Community Services Program (LIEAP & Weatherization) 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena, MT 59620-2956 TOP, 111 North Sanders, Room 305 Helena, MT 59601-4520 TOP, Medicaid & Healthy Montana Kids Drug Rebate Program, 1400 Broadway, Room A104 Helena, MT 59601-5231, Audit Bureau 2401 Colonial Dr, 3rd Floor Helena, MT 59601-4909, Administrative Support Supervisor,Afrah Al Asadi, Administrative Assistant,Andrew Erickson, Life Safety Code, Emergency Preparedness, CLIA Supervisor Tony Sanfilippo, Health Facility Surveyor, Rachelle Jewison, Health Facility Surveyor, David J. Rankosky, Acute & Continuing Care /Complaint/Dispute Resolution Manager, Tyler Smith, Health Facility Surveyor, Jennifer Anderson, Health Facility Surveyor, Toshua Krushensky, Nursing Facilities Abuse Hotline Toll Free Number, Healthcare Facility Program Manager, Tara Wooten, Residential Care Program Manager, Anaconda, Julie Fink, Residential Care Licensing Surveyor, Bryan Greer, Residential Care Licensing Surveyor, Stephanie Galle, Residential Care Licensing Surveyor, Christopher Sowell, Residential Care Licensing Surveyor, Sabrina Charlson, Residential Care Licensing Surveyor, Teresa Burtell, Residential Care Licensing Surveyor, Kara Seyer, License Permit Technician, Samantha Kroll, Quality Control Team Lead, Heather Kerker, Quality Control Auditor, Kristyn Anderson, Quality Control Auditor, Ashley Alexander, Program Integrity Supervisor, Heather Smith, Program Integrity Specialist, Christen LeBlanc-Birkholz, Program Integrity Investigator, Yvonne Perry, Program Integrity Investigator, Lana Madsen, Program Integrity Investigator, Nancy White, Program Integrity Investigator, Cassie Cable, Lead Program Integrity Compliance Specialist, Summer Roberts, Program Integrity Compliance Specialist, VACANT, Program Integrity Compliance Specialist, Heidi Kandilas, Program Integrity Compliance Specialist, Jaymie Larsen, Program Integrity Compliance Specialist, Alyssa Clark, Program Integrity Compliance Specialist, Ross Barnes, Program Integrity Compliance Specialist, Vacant, Program Integrity Compliance Specialist, Caitlyn King, Program Integrity Compliance Specialist, Rachel Savage, TPL Tort Recovery Officer, Shawn Ratchford, 1100 N. Last Chance Gulch, 2 nd Floor, Helena, MT 59601 TOP, State Information Technology Services Division PO Box 200113 Helena, MT 59620-0113 CONTACT US, STD DIS Program Specialist, Miranda Reddig, U.S. BUREAU OF LABOR STATISTICS FOR MONTANA, MONTANA OFFICE OF TOURISM AND BUSINESS DEVELOPMENT, MONTANA HISTORICAL SOCIETY RESEARCH CENTER, Behavioral Health and Developmental Disabilities, Office of Inspector General (formerly Quality Assurance), State Information Technology Services Division, Economic Security Services Executive Director, Erica Johnston, Medicaid and Health ServicesExecutive Director, Mike Randol, Medicaid and CHIP State Plan Amendment and Waiver Coor., Mary Eve Kulawik, Strategic Planning, Research andAnalysis, Eric Higginbotham, Operations Revenue Forecasting Specialist, Jami Bartole, Office of Inspector General, Michelle Truax (Interim), Operations Revenue Forecasting Specialist, Betty Morrison-Franklin, State Medical Officer, Dr. Maggie Cook-Shimanek, Office of Health and Human Services Innovation, CIO, Marie Matthews, Legislative and Regulatory Affairs, vacant, Faith and Community Based Services, Rob Lawler, American Indian Health Director, Stephanie Iron Shooter, Deputy Chief Legal Counsel, Chad G. Parker, Attorney, HIPAA Program Officer, Theran Fries, Office Manager / Administrative Rule Specialist, Valerie St. Clair, Administrative Rule Specialist, Kassie Thompson, Administrative Legal Assistant, Bailey Yuhas, Medicaid Systems Operations Manager, Shellie McCann, Bedbugs, Hotels & Campground licensing, Pools, Food/Sanitarians - Grocery, Restaurants & Retail Food, Tattoos & Body Art & Piercing, Chronic Disease - Arthritis, Asthma, Diabetes, Vital Records, birth, death, marriage, divorce, State Refugee Coordinator, Kathe Quittenton, State MedicalDirector, Dr. Maggie Cook-Shimanek, MD, System Improvement Office Supervisor, Terry Ray, Local & Tribal Support Program Supervisor, Kerry Pride, DVM, Local & Tribal Support Specialist, Vacant, Public Health Accreditation Specialist, Vacant, Workforce Support Specialist, Allison Scheeler, Instructional Designer & Training Coordinator, Neva Loney, Performance Management & Quality Improvement Specialist, Marilyn Trevino, Epidemiology Program Manager, Heather Zimmerman, Office Manager/Financial Specialist, Jodee Prevel, Disability Health Education Specialist, Mackenzie Jones, Office Manager/Financial Specialist, Susan Day, Administrative Specialist, Carolyn Linden, Determinates of Health Program Manager, Margaret Mullins, Secondary Prevention Specialist, Mike McNamara, Quality Improvement Coordinator, Callan Brick, Asthma Control Program Manager, BJ Biskupiak, EMS Licensing and PI Specialist, Francine Janik, Cardiac Ready Program Manager, Janet Trethewey, Community Integrated Health Program Specialist, Kelly Little, Trauma System Manager, Alyssa Johnson, RN, BSN, Violent Death Registry Program Manager, Annie Kurtz, Injury Prevention Coordinator, Maureen Ward, Health Education Specialist, Alivia Winters, Administrative Support/Licensing, Sandra Tirrell, Body Art/Trailer Court Camp Grounds/ Cottage Food/ Farmers Markets, Mark Hall, Wholesale Mfg. Montana Vital Statistics Services (Jan, 2022), If you need additional information please contact:(406) 444-1756, Behavioral Risk Factor Surveillance System, Montana Public Health Data Resource Guide, Guidelines for the Release of Public Health Data, Montana Environmental Health Education and Assessment Program (MEHEA). Processing times differ between offices, but you should expect to receive your vital records in the Montana Department of Public Health and Human Services (DPHHS) in 2 to 3 business weeks. Children have the right to know if they have inherited any special health problems. Marriage license lookup can be done by submitting a written request, email, or in person. If you're unable to locate vital records recorded by governments, search for church records of christening, marriage, death or burial. Documents which have been pre-checked may be dropped off at the Secretary of States office: Secretary of States Office Box 4210 Informational copies of Montana birth records are open to the public if the birth is more than thirty years old. Leading Causes of Death among Montana Residents in 2020 by Urban/Rural County Classification (Jan 2023). Office of Vital Records Department of Public Health and Human Services 111 N Sanders Rm 6 PO BOX 4210 Helena MT 59604 Birth Certificate mail in application Death certificate mail in application Disclaimer: Processing time varies depending on staffing and workload. All information these cookies collect is aggregated and therefore anonymous. Remarks: Clerk of District Court in county where marriage license was purchased. Alcohol-induced Deaths Among Montanan's Aged 25 years and Over, 2000-2019 (May, 2021), Provisional Leading Causes of Death and Other Select Causes in Montana, 2020 and 2015-2019 (Mar, 2021), General, Age-Specific, and Total Fertility Rates in Montana, 2010-2019 (Dec, 2020), Covid-19 Associated Deaths among Montana Residents, Provisional Data March-October 2020 (Nov, 2020), Percentage of Deliveries Each Hour in Montana, 2012-2016 (May, 2018), Veteran Suicide in Montana, 2013-2016 (Jan, 2018), Trends in Infant Mortality, Montana 2006-2015 (Oct, 2017), Prescription Opioid Poisoning Deaths in Montana, 2000-2015 (Aug, 2016), Drug Poisoning Deaths in Montana, 2003-2014 (Apr, 2016), Multiple and UnderlyingCauses of Death Using Montana Death Certificates, 1999-2014 (Dec, 2015), Pregnancy-Associated Mortality: Assessing the Effectiveness of the Pregnancy Check Box and Vital Records Linkage using Montana Death Certificates, 2004-2013 (May, 2015), Suicide in Montana: Evidence from Death Certificates 2004-2013 (Feb, 2015), First Births To Older Mothers Increasing (Dec, 2014), Under-Ascertainment of Alcohol Involvement in Vehicle Crash Deaths on Montana Death Certificates, 2012 (Jul, 2013), Sudden Infant Death Syndrome and Bed-Sharing in MT, 2003-2010(Aug, 2012), Pregnancy-Associated Deaths in Montana, 2003-2009(Apr, 2011), Office of Epidemiology and Scientific Support, NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS. P.O. A marriage certificate search for the first 5 years costs $10, and each consecutive year costs $1. 2023 Missoula County, MT. Rather, they would have to make requests at the Clerk of Court in the county where the divorce was filed. Both types of certification Apostille and Authentication verify that the Notary Public, Clerk of District Court,Clerk & Recorder, orVital Records Administratoris authorized to provide the notarization or certification and that he/she has done so in accordance with the requirements of the Montana Code Annotated. Federal court documents should be authenticated by the Federal Court in which it was issued. Certified marriage records are available at the clerk's office in the county where the marriage license was issued. There is no centralized registration of marriage records. Vital certificates requests can be made online through VitalChek services. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. P.O. 111 N Sanders Rm 6 However, requests for certified copies often require the requestor to undergo a verification process in which they provide: An informational copy is a duplicate of a record often issued for unofficial and non-legal purposes. Additional copies of the same record requested at the same time are $5.00. The County Clerk and Record can also provide certified copies of any record (such as a property deed) that was recorded in the office. Applicants MUST provide a clear and readable copy of both sides of their current driver's license or other current government issued identification with signature. Our office does not provide translation services. Suite D Additional copies of the same record requested at the same time are $8.00. Pages 19 21 of the. However, the state DPHHS also maintains an index of divorce decrees going back to July 1943, and divorce information can be obtained by sending a written request to the state office. Cascade County vital records can be obtained through the Montana Department of Public Health and Human Services. Private documents must be properly notarized according to Montana statutes. Phone: (406) 582-2165 There are times, however . Vital Records consist of births, adoptions, marriages, divorces, and deaths recorded on registers, certificates, and documents. Montana Vital Records Death Records What are Death Records in Montana? In addition,the law required clergymen, coroners, sextons, and undertakers were to registerdeaths. Phone: (406) 444-2685. Our office does not have authority to Apostille or Authenticate Federal background checks. When the 30 years of birth elapse, certified birth certificates become public records. To request a vital record online, the requestor must provide all information required to process the record search, including: The full name (s) of the subject (s) of the record (including any maiden names) The place and approximate date of the event The license number, court docket number, or case file number of the record (if applicable) Requests must detail pertinent information on the divorce, including the names of the parties involved and the place and date the decree was granted. The resulting datasets are analyzed by state, federal, and private sector investigators in accordance with state and federal privacy statues. Copies of private business records and documents (such as articles of incorporation drafted by your attorney) can be certified by a local or in-house notary, then sent to us for Apostille/Authentication. Box 4210 to State, County and Municipal Public Records. Helena, MT. For your convenience, we have partnered with independent companies to provide this service; VitalChek Network, Inc.1 (888) 877-1946. Montana vital records include documents pertaining to the death, birth, marriage, and divorce of state residents. The Clerk & Recorder in each Montana county can issue birth certificates for any person born in Montana. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Please note that blocking some types of cookies may impact your experience on our website and the services we offer. The VSAU, located in the Office of Epidemiology and Scientific Support, analyzes vital statistics data and releases regular and special reports, which can be accessed below. These vital events may include death, birth, divorce, marriages, and fetal deaths. Per 37.8.126 of the Administrative Rules of Montana, non-certified copies of birth certificates are public records. of your license, indicating the country you are requesting the license for. The Vital Statistics Analysis unit (VSAU) collaborates with the Office of Vital Statistics (OVS) and the State Registrar to collect and analyze data on vital events in Montana. Search for Convicted Felons. We are not responsible for documents that are lost in the mail. You can obtain certified copies of your business records that have been filed with the Montana Secretary of State through the Online Filing Portal at, Online Business Services | Montana Secretary of State (sosmt.gov), . 615 S. 16th Ave., Room 302 The Office of Vital Statistics, Montana Department of Health and Human Services has: Birth records since 1907 Death records since 1907 Marriage records are held at the clerk of the district court in the county Divorce records are held at the clerk of the district court in the county Facilities State-Run Healthcare Facilities Montana State Hospital - Warm Springs Mental Health Nursing Care Center - Lewistown Intensive Behavioral Center - Boulder Montana Chemical Dependency Center - Butte Veterans' Homes Eastern Montana Veteran's Home - Glendive Montana Veteran's Home - Columbia Falls Southwest Montana Veteran's Home - Butte Maintained by civil authorities, they are prime sources of genealogical information; but, unfortunately, official vital records are available only for relatively recent periods. In contrast, certified copies of birth certificates less than 30 years old are confidential. Address: When ordering a birth or death record that will need to be Apostilled/Authenticated, it is imperative that you clearly indicate whether you need a long-form or short form record, and also inform them that the document is to be forwarded to the Secretary of States Office. Montana Department of Public Health and Human Services, Gallatin County Clerk of District Court's, Application For Search Of Marriage & Divorce Indexes, The full name(s) of the subject(s) of the record (including any maiden names), The place and approximate date of the event, The license number, court docket number, or case file number of the record (if applicable), The full name of the subject's parents and/or legal guardian (if applicable), The names of the legal representative(s) involved and/or their state bar identity number. Your message needs to include your full name, your license number if you have it, your date of birth and the last 4 digits of your social security number. Processing times vary depending on the time of year and current staffing at the Montana Vital Records Office. The law requires both parents to support their child, even if the pregnancy was unplanned or if the parents are not married to each other. Write to the clerk of the district court for copies of marriage and divorce records. Website Address: https://dphhs.mt.gov/certificates/ Ordering Vital Records Online - get the certificates within 2-5 days with a credit or debit card from USAVital.com or VitalChek.com Ordering Vital Records by Mail: You can download an application online for Montana Birth Certificate , Death Certificate Applications. Vital Statistics Montana Office Number What is Vital Statistics Montana office number? We are not responsible for lost or undelivered mail. Our office will pre-check your notarized document before you submit it to assure it has been properly notarized. The Office of Vital Statistics also creates comprehensive electronic files of these events. You may download copies of the appropriate certificates to present to the notary with your document. The current fees for obtaining copies of the state's vital records are also listed at VitalRecords.com. CAN YOU TRANSLATE MY DOCUMENT AND APOSTILLE IT FOR ME? https://dojmt.gov/driving/driving-records/, Copies of professional licenses may be obtained from the, of the Montana Department of Labor & Industry (406) 841-2300, For licensees requiring an apostille or authenticated copy of your active Montana teaching license to be sent to a foreign country, please send an email to. A family Bible may have been used to record births, marriages and deaths. To check on the status of a request, call (406) 444-2685. Certified copies are not available from State office. Missoula County Weed District and Extension Office. There are numerous variations of acceptable wording and formatting for notarial certificates, but if your document contains only the notarys signature and stamp, it will automatically be rejected and returned for correction. Saving Lives, Protecting People, Montana Department of Public Health and Human Services website, U.S. Department of Health & Human Services. Criminal Records Identification Services Section. Paternity may be presumed by law or determined by a court if it is disputed. It became law to file these records with us July 1, 1907. Your message needs to include your full name, your license number if you have it, your date of birth and the last 4 digits of your social security number. To add your name to the Putative Father Registry download and complete the form entitled Putative Father Registry Form . Contact information for the most frequently requested records: Office of Vital Records Birth Certificates, Death Certificates, Letters of Marriage Eligibility: The Montana Office of Vital Records provides certified copies of birth or death records originally issued in any county in the state. The FamilySearch Library has microfilm copies ofmany county marriage records. To add your name to the Putative Father Registry download and complete the form entitled, Aging and Disability Resource Center (ADRC), Nursing Facilities and other Living Options, SHIP - State Health Insurance Assistance Program, Home Energy, Water and Weatherization Assistance Programs, Aging & Disability Resource Center (ADRC), MTAP (Montana Telecommunications Access Program), Licensing healthcare and residential services, Mental Health Nursing Care Center - Lewistown, Montana Chemical Dependency Center - Butte, Eastern Montana Veterans Home - Glendive, Montana Veterans Home - Columbia Falls, Paternity Packet for Hospitals and Midwives, Paternity Information for Parents booklet, NOTICE OF USE OF PROTECTED HEALTH INFORMATION, ACCESSIBILITY, DISCLAIMER AND WEB STANDARDS. Montana vital records start the following years: * The Montana Legislative Assembly passed a law in1895requiring local physicians and midwives to register births. 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( 406 ) 582-2165 There are times, however VitalChek Services by a court if it is.... Cascade county records - FamilySearch Historical records box 4210 to State, federal, and undertakers were to registerdeaths your. For any person born in Montana are not responsible for Section 508 compliance ( accessibility ) on other or. ( Jan 2023 ) or other current government issued identification with signature and current staffing at same... In1895Requiring local physicians and midwives to register births often do not have enough money to meet their basic.! Creates comprehensive electronic files of these events and complete the form entitled Putative Father Registry download and complete form! Make requests at the clerk of District court in which it was.! With us July 1, 1907 of interest using the appropriate certificates to present the... Check on the record of interest using the appropriate request form and the document to be sent the. 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