◦ Must be age 18 or older
◦ VA Card (with intact photo)
By State law, vital records filed with this office are not open for public
inspection and the requestor must meet eligibility requirements -- must be
named on the record, an immediate family member, or someone who can
provide legal proof the record is necessary for the determination of personal or
property rights. [K.S.A. 65-2422d]
Please make a copy of one of the following documents and send
with the application. All documents MUST be signed, current
and valid. All Identification must have both sides and be able to
be read.
◦ Photocopy of Government Issued Driver's License, Military ID,
State ID card, Valid Passport and Visa's. (Not the credit/debit
◦ Permanent resident card
◦ Refugee Travel Document
◦ Certificate of Naturalization (with intact photo)
◦ Voter's registration card (Countries outside of the U.S.)
◦ Alien registration receipt card
◦ Employment authorization card
◦ Inmate ID of Requestor(along with a memo completed and signed by a counselor or parole officer)
Who's Eligible to Obtain Most Certificates: Must provide ID and proof of direct
interest
Requestor's current ID required To Get a Certificate:
ONE form of Primary Documentation required from list below
◦ Utility Bill with current address of Requestor and company letterhead with company name and address; not handwritten
◦ Current Pay Stub (must include your name, social security number plus name and address of business; not handwritten)
◦ Social Security card (must be signed by card holder)
◦ Bank Statement with Requestor's current address
◦ Car Registration or Title with Requestor's current address
* PLEASE NOTE MATRICULAS ARE NOT AN ACCEPTABLE FORM OF
ID
If legal guardianship has been established through the courts, please provide a
copy of the guardianship papers.
◦ Concealed Carry handgun license
If you do not have a government issued photo ID, you must send photocopies of any two of the following: *Photocopies must be
of the complete document, able to be read and be the Requestor's with current address
◦ Temporary Driver's License
◦ Valid insurance card or policy of Requestor
◦ Valid health insurance card or policy of Requestor
◦ Parole document (book sheet) of Requestor
◦ Bureau of Indian Affairs Tribal ID card of Requestor
1) Fees expire 12 Months from the date of the request.
2) MULTIPLE REQUESTS FOR DIFFERENT RECORDS MAY BE HANDLED AND MAILED SEPARATELY.
WARNING: COPYING, ALTERING, or FRAUDULENT ACTIVITY PROHIBITED
Except as authorized by the Uniform Vital Statistics Act, no person shall prepare or issue any certificate (vital record) which purports to be an
original, certified copy or abstract or copy of a certificate [K.S.A. 65‑2422d.(g)]. Vital records identity theft related to obtaining certificates or
making, counterfeiting, altering, amending any certified copy of a vital record with the intent to sell or obtain for any purpose of deception a
certified copy of a vital record is a severity level 8, nonperson felony. [K.S.A. 21-3830a (d) and K.S.A 21-3830a (e)].
◦ Letter from employer (with Requestor's current address)
◦ U.S. Voters registration card of Requestor
When an adoption has occurred, the biological family may not have a legal right to the adoptee’s record nor may the adoptee have a legal right to
the biological family’s records.
◦ Filed Income Tax of Requestor with current address
◦ Letter to Requestor from Social Service Agency/Health Department or other government agency with current address
◦ Hospital or Health agency bill (with current address) of Requestor
◦ Court Documents of Requestor
◦ W-2 from Employer (with Requestor's current address)
Read: IMPORTANT MISCELLANEOUS INFORMATION