Hennepin County, MN · Hennepin County
Statement to Identify
This form lets a witness confirm the identity of someone requesting a birth or death certificate who lacks acceptable identification.
At a glance
- Issued by
- City of Hennepin County · Hennepin County, Hennepin County, Minnesota
- Notarization
- Not required: file this form without a notary.
- Official source
- hennepincounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this form when a birth or death certificate requester does not have acceptable identification and needs someone who has known them for at least two years to confirm their identity. It asks for witness, requester, and record subject information, as well as the witness’s relationship to the requester and how long they have known them. The witness signs and dates the statement.
Who needs it
A certificate requester without acceptable identification needs a witness who has known them for at least two years to complete this statement.
How to submit it
Submit it to the county vital records office named on the form; check the county website for current contact details.
About notarization
The form allows the witness to sign without a notary when attending the county vital records office with the requester; otherwise, it describes a notary signing option.
How to submit this form
- 1
Download the Form
Download the Statement to Identify PDF.
- 2
Complete the Form
Enter the witness, requester, and record subject information requested on the form.
- 3
Arrange the Witness Signing
The witness may sign at the county vital records office with the requester, or use the notary option described on the form.
- 4
Submit the Form
Submit the completed statement with the birth or death certificate application to the county vital records office.
Frequently asked questions
- What is the Statement to Identify used for?
- It lets a witness who has known the requester for at least two years confirm the identity of someone requesting a birth or death certificate without acceptable identification.
- Who completes the Statement to Identify?
- The witness provides their information and relationship to the requester, and the requester and record subject information is also entered on the form.
- Do I need a notary for the Statement to Identify?
- No, if the witness and requester go together to the county vital records office. The form says that otherwise the witness signs before a notary.
- How do I submit the Statement to Identify?
- Submit it to the county vital records office named on the form. Check the county website for current contact details.