AGENCY: Department of Health. Community Health Service

SERIES: 17090
TITLE: Application for certified birth certificate and birth card
DATES: undated.
ARRANGEMENT: None

DESCRIPTION: This is a request by individuals for a copy of a certified birth certificate. It includes the name, date of birth, and city of birth of the individual's 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 date of the request; and the number of copies of the birth certificate or card requested.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 03/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 2 years and then destroy.

APPRAISAL

The retention is based on discussion with the staff as to their administrative needs.

PRIMARY DESIGNATION

Private

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