Government Agency Request
Note: All birth certificates issued to any government agencies or entities shall be either printed or stamped “For Government Use Only” across the face of the certificate, including those charged a fee.

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1. Registrant (Self)
2. Registrant (Self – at least 16 years of age)
3. Parents
4. Spouse
5. Grandparent
6. Adult Child
7. Adult Brother or Sister
8. Guardian
9. A Person Designated in a Power of Attorney
10. Conservator
11. A Person Designated in a Court Order
12. Attorney Representing the Registrant, Registrant's Parent or Guardian
13. Adoption Agencies Representing Biological or Adoptive Parents
14. Private Attorney Representing Adoptive Parents
15. Government Agency Request
16. Noncertified Copy: Genealogical Research
17. Noncertified Copy: Government Agency Request