Form VSARA-08 "Certified Copy of a Birth or Death Certificate" - Vermont

What Is Form VSARA-08?

This is a legal form that was released by the Vermont Secretary of State - a government authority operating within Vermont. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2018;
  • The latest edition provided by the Vermont Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form VSARA-08 by clicking the link below or browse more documents and templates provided by the Vermont Secretary of State.

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Download Form VSARA-08 "Certified Copy of a Birth or Death Certificate" - Vermont

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VSARA-08
Rev. 03/2018
Vermont State Archives and Records Administration
Office of the Secretary of State
1078 US RTE 2, Middlesex ● Montpelier, VT 05633-7701 ● Tel: (802) 828-3700 ● Fax: (802) 828-3710
CERTIFIED COPY OF A BIRTH OR DEATH CERTIFICATE
VSARA holds certificates for births and deaths that occurred between 1909 and 2012.
More recent certificates must be requested from the Vermont Department of Health.
Individual Requesting the Certificate
Name: _________________________________________________________________________________
Address: ________________________________________________________________________________
City: ________________________________________________ State: __________ Zip: ______________
Daytime Phone: _____________________________
Email Address: _____________________________
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Certificate Information
Name on Certificate: ____________________________________________________________________
Sex
:
Event
:
Birth
Death
Male
Female
Date of Event: _____________________ Town/City of Event: ___________________________________
Parent 1 (Original or Maiden Name): ________________________
________________________
Parent 2 (Original or Maiden Name): ________________________
________________________
Spouse or Civil Union Parter Name:
________________________
________________________
Apostille Required for (country): __________________________________________________________
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Copies and Payment
Number of Copies Desired: ____ Certified Copy with Seal ($10 each)
Amount Due: _______
$ 0.00
Number of Copies Desired: ____ Apostille ($10 each)
Amount Due: _______
$ 0.00
Amount Enclosed: ______
Cash
Check
Money Order
Agency Invoice Customer # __________
$ 0.00
Vital records fees are defined in 32 V.S.A. § 1715.
Make checks or money orders (U.S. funds) payable to the Vermont Secretary of State.
Mail your payment with this form and a self-addressed stamped envelope to the address shown above.
VSARA-08
Rev. 03/2018
Vermont State Archives and Records Administration
Office of the Secretary of State
1078 US RTE 2, Middlesex ● Montpelier, VT 05633-7701 ● Tel: (802) 828-3700 ● Fax: (802) 828-3710
CERTIFIED COPY OF A BIRTH OR DEATH CERTIFICATE
VSARA holds certificates for births and deaths that occurred between 1909 and 2012.
More recent certificates must be requested from the Vermont Department of Health.
Individual Requesting the Certificate
Name: _________________________________________________________________________________
Address: ________________________________________________________________________________
City: ________________________________________________ State: __________ Zip: ______________
Daytime Phone: _____________________________
Email Address: _____________________________
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Certificate Information
Name on Certificate: ____________________________________________________________________
Sex
:
Event
:
Birth
Death
Male
Female
Date of Event: _____________________ Town/City of Event: ___________________________________
Parent 1 (Original or Maiden Name): ________________________
________________________
Parent 2 (Original or Maiden Name): ________________________
________________________
Spouse or Civil Union Parter Name:
________________________
________________________
Apostille Required for (country): __________________________________________________________
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Copies and Payment
Number of Copies Desired: ____ Certified Copy with Seal ($10 each)
Amount Due: _______
$ 0.00
Number of Copies Desired: ____ Apostille ($10 each)
Amount Due: _______
$ 0.00
Amount Enclosed: ______
Cash
Check
Money Order
Agency Invoice Customer # __________
$ 0.00
Vital records fees are defined in 32 V.S.A. § 1715.
Make checks or money orders (U.S. funds) payable to the Vermont Secretary of State.
Mail your payment with this form and a self-addressed stamped envelope to the address shown above.