Hiram, ME · Oxford County

Authorization to Release a Vital Record

This form authorizes a named person to obtain a birth, death, or marriage record for the person identified on the form.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The signer names the person authorized to obtain the record and identifies the person whose birth, death, or marriage record may be released. Use the form when granting someone else permission to obtain one of these records; it includes a notarial acknowledgment of the signer’s appearance and act.

Who needs it

A person authorizing someone else to obtain their birth, death, or marriage record can use this form to identify the authorized recipient.

Why it needs a notary

The form has an acknowledgment stating the signer personally appeared and acknowledged the authorization as their free act and deed before a notary or attorney.

How to get this notarized

  1. 1

    Download the Form

    Download the Authorization to Release a Vital Record form.

  2. 2

    Fill In the Authorization

    Name the person authorized to obtain the record and identify the person whose record may be released.

  3. 3

    Book an Online Notary

    Arrange an online notarization if remote notarization is accepted for this form.

  4. 4

    Sign on Video

    Appear by video and acknowledge your signature before the notary.

  5. 5

    Submit the Form

    Submit the completed authorization to the office handling the vital record request.

Preview the form

The blank PDF straight from Hiram. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I authorize someone to obtain my vital record?
Complete the form with the authorized person’s name and the name of the person whose birth, death, or marriage record may be released. Sign before a notary or attorney.
Do I need to sign this form before a notary?
The form includes an acknowledgment stating that you personally appeared before a notary or attorney and acknowledged the authorization as your free act and deed.
Can I sign this form with a commissioned online notary?
Maine law, 4 M.R.S. §1915, authorizes remote notarization by Maine notaries, subject to specified exceptions. Confirm that remote notarization is accepted for this form before booking.
Where should I submit the completed authorization?
The form authorizes someone to obtain a vital record, but it does not state where to submit it. Confirm with the town, city, or county registry of deeds if unsure.

Authorization to Release a Vital Record in other Oxford County cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Authorization to Release a Vital Record?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.