Anaconda, MT · Deer Lodge County
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
Download the Application
Download the birth certificate request application PDF.
- 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
Gather Identification and Proof
Include the identification described on the form and any applicable proof of relationship, guardianship, caretaker status, or authorization.
- 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.
