"Authorization to Release a Vital Record" - City of Biddeford, Maine

Authorization to Release a Vital Record is a legal document that was released by the City Clerk - City of Biddeford, Maine - a government authority operating within Maine. The form may be used strictly within City of Biddeford.

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Authorization to Release a Vital Record
Date: _______________________
I, _________________________, hereby authorize ______________________
(
(
name of person eligible for record)
name of person to obtain record)
to obtain the ___ birth, ____death ____ marriage record of _____________________.
(check all that apply)
(
name of person on record to be released)
_________________________________________
Signature
Personally appeared before me this _________ day of ___________________, 20 __,
at _________________, Maine, by __________________________ to be his/her free
)
(name of person acknowledged
act and deed.
______________________
Signature of Notary/Attorney
______________________
Printed Name of Notary/Attorney
______________________
Date Commission Expires
Authorization to Release a Vital Record
Date: _______________________
I, _________________________, hereby authorize ______________________
(
(
name of person eligible for record)
name of person to obtain record)
to obtain the ___ birth, ____death ____ marriage record of _____________________.
(check all that apply)
(
name of person on record to be released)
_________________________________________
Signature
Personally appeared before me this _________ day of ___________________, 20 __,
at _________________, Maine, by __________________________ to be his/her free
)
(name of person acknowledged
act and deed.
______________________
Signature of Notary/Attorney
______________________
Printed Name of Notary/Attorney
______________________
Date Commission Expires