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Phone607.737.2028
Emailcchd@co.chemung.ny.us
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VITAL RECORDS: ACCEPTABLE IDENTIFICATION OR DOCUMENTED PROOF

Acceptable Forms of ID for Walk-In Service Only:

  • Photo ID
  • Driver’s or Non-Driver’s License
  • Sheriff’s ID
  • Passport
  • Military ID
  • Employee or School Photo ID
  • Naturalization Papers*
  • 2 different current utility bills with current address listed*
  • Police report of stolen or lost ID*

Acceptable Forms of ID for Mail (including Faxed/E-mail) orders:

  • Legible photocopy of Driver’s or Non – driver’s license with current address preprinted on the front**
  • Notarized Signature

*Photo ID is required when requesting a certificate of someone other than yourself.

**Signature must be notarized if mailing to an address that does not match the address listed on the front of your driver’s/non-driver’s license.

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Acceptable Documents to show legal right or claim are:   

  • Court order adjudicating paternity
  • Court order of custody or guardianship (Documents must be date stamped by the court no more than 6 months prior to the request.)
  • Power of Attorney specifying authority to access to such records  
  • A notarized letter from the person or a parent listed on the birth certificate granting permission to pick up a certificate on their behalf. Authorized person must also present their photo ID. 
  • Letters Testamentary showing requestor as executor/executrix
  • Insurance policy showing the requestor as beneficiary
  • Letter from a bank to the surviving joint account owner requesting a copy of the death certificate

Acceptable Documents to show relationship are:

  • Certified copy of birth certificate with parent’s names listed
  • Certified Certificate of Baptism with parent’s names listed

Related Form: Consent To Release Certified Birth Certificate  

 

   Any questions please contact our office:  607-737-2018

 

Chemung County Health Center
103 Washington Street
Elmira, NY

Public Health
607.737.2028
cchd@co.chemung.ny.us

Environmental Health
607.737.2019
ehs@co.chemung.ny.us
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