Rumford, 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 named on the record, when signed by someone eligible to authorize its release.

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

Use this form to authorize another person to obtain a birth, death, or marriage record. The person eligible for the record identifies the record and its date, names the person who will obtain it, and signs the authorization. The form includes a notarial acknowledgment for the eligible person’s signature; contact the Town of Rumford if you need to confirm what else to provide when requesting the record.

Who needs it

A person eligible for a vital record who wants to authorize someone else to obtain the birth, death, or marriage record needs this form.

Why it needs a notary

The form carries a notarial acknowledgment stating the signer personally appeared and acknowledged the signature as a free act and deed; the eligible person signs before the notary.

How to get this notarized

  1. 1

    Download the Form

    Get the Authorization to Release a Vital Record form from the Town of Rumford.

  2. 2

    Fill In the Details

    Name the eligible person, the person authorized to obtain the record, the record type, event date, and person named on the record.

  3. 3

    Book an Online Notary

    Arrange a remote notarization with a commissioned online notary.

  4. 4

    Sign on Video

    Appear by video and sign the authorization as directed by the notary.

  5. 5

    Submit the Form

    Follow the Town of Rumford’s instructions for submitting the notarized authorization when requesting the record.

Preview the form

The blank PDF straight from Rumford. 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 eligible person’s name, the authorized person’s name, the record type and event date, then sign before a notary.
Do I need to sign this form in front of a notary?
Yes. The form includes an acknowledgment stating that the signer personally appeared before the notary and acknowledged the signature as a free act and deed.
Can I use an online notary for this form?
Maine law allows a commissioned online notary to perform remote notarizations under 4 M.R.S. §1915. Confirm acceptance of the notarized form with the Town of Rumford.
Where should I submit the completed authorization?
Contact the Town of Rumford to confirm how to request the record and submit this authorization; 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.