Anaconda, MT · Deer Lodge County

No notary required

Birth Certificate Request Application

Eligible applicants use this form to request certified or informational birth certificate copies from the Anaconda-Deer Lodge County Clerk and Recorder.

What this form is

This application lets eligible people request certified or informational copies of a birth certificate. It asks for the certificate holder’s details, the requester’s relationship and reason for the request, the number of copies, contact information, and a signature. The instructions describe eligibility and identification requirements, list nonrefundable copy fees, and say proof of relationship, guardianship, caretaker status, or authorization is required when applicable.

Who needs it

A person eligible to obtain a birth certificate copy should complete this application and provide the required identification and any applicable proof of eligibility.

How to submit it

The form names the Anaconda-Deer Lodge County Clerk and Recorder at 800 Main Street, Anaconda, MT 59711. Checks are payable to Anaconda-Deer Lodge County; the form lists certified copies at $8 each and informational copies at $2 each.

About notarization

This application does not require notarization; the instructions offer notarizing the request as an identification alternative when the signer lacks qualifying photo identification.

How to submit this form

  1. 1

    Download the Application

    Download the birth certificate request application PDF.

  2. 2

    Complete the Request

    Enter the certificate holder’s information, your relationship and reason for the request, the number of copies, and your contact details; then sign.

  3. 3

    Gather Identification and Proof

    Include the identification described on the form and any applicable proof of relationship, guardianship, caretaker status, or authorization.

  4. 4

    Submit to the Clerk and Recorder

    Use the Clerk and Recorder address shown on the form and make any check payable to Anaconda-Deer Lodge County.

Frequently asked questions

Who can request a birth certificate with this application?
The form lists the registrant, spouse, children, parents, grandparents, certain caregivers or representatives, and people who document a need to protect personal or property rights. Proof may be required.
What identification must I provide?
Provide an enlarged, legible photocopy of both sides of a valid photo ID with a signature, or two other forms of identification, one with a signature. The instructions also describe a notarized request as an alternative.
Do I need a notary for the birth certificate request application?
No. The application does not require notarization, though the instructions offer notarizing the request as an identification alternative when the signer lacks qualifying photo identification.
How do I submit the birth certificate request application?
The form identifies the Anaconda-Deer Lodge County Clerk and Recorder at 800 Main Street, Anaconda, MT 59711, and says checks should be payable to Anaconda-Deer Lodge County.

Need something notarized?

This Birth Certificate Request Application doesn’t need a notary — but if you have another Anaconda form that does, a commissioned online notary can help.