AGENCY: Southwest Utah Public Health Department (Utah)

SERIES: 13673
TITLE: Birth certificate and birth card applications
DATES: 1980-
ARRANGEMENT: Chronological

DESCRIPTION: This application form is used to request a certified birth certificate or birth card. It includes the name, date of birth, and city of birth of the individual whose birth certificate is being requested; the applicant's name, address, telephone number, and relationship to the individual whose birth certificate is being requested; the name, year, and state of birth of the individual's parents; the reason for the request; the request date; and the number of copies of the birth certificate or card requested.

RETENTION

Retain for 1 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

AUTHORIZED: 06/26/2019

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then destroy.

APPRAISAL

PRIMARY DESIGNATION

Private

---