What records can I request with this application?

The form covers non-genealogical birth, marriage, civil union, domestic partnership, and death records, subject to the time periods described in its instructions.

What must I provide with the application?

The instructions require a completed application, valid proof of identity, and payment. For a certified copy, you must also provide proof of your relationship or authority to request the record.

Do I need a notary for this application?

No. The application itself is signed without a notary. If you want records mailed to an address different from the one on your ID, the instructions require an attached notarized letter.

Bloomingdale, MT · Passaic County

No notary required

Application for a Non-Genealogical Certification or Certified Copy of a Vital Record

This application lets eligible requestors seek a certification or certified copy of a non-genealogical birth, marriage, civil union, domestic partnership, or death record.

What this form is

Use this application to request a certification or certified copy of a non-genealogical vital record. The instructions define eligible records by event and date, and state that applicants must provide a completed application, valid proof of identity, and payment; certified-copy requests also require proof of the requestor’s relationship or authority. The form asks for requestor details and record information, including the event, date, location, and people named on the record.

Who needs it

People seeking a non-genealogical vital record certification or certified copy who meet the listed identity and, for certified copies, eligibility requirements need this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; requests to mail records to an address different from the address on the requestor’s ID require an attached notarized letter.

How to submit this form

1
Download The Application
Download the vital record certification or certified copy application PDF.
2
Complete The Form
Enter your requestor details and the information for the birth, marriage, civil union, domestic partnership, or death record.
3
Gather Required Items
Include valid proof of identity, payment, and, for a certified copy, proof of your relationship or authority to request the record.
4
Submit The Application
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What records can I request with this application?: The form covers non-genealogical birth, marriage, civil union, domestic partnership, and death records, subject to the time periods described in its instructions.
What must I provide with the application?: The instructions require a completed application, valid proof of identity, and payment. For a certified copy, you must also provide proof of your relationship or authority to request the record.
Do I need a notary for this application?: No. The application itself is signed without a notary. If you want records mailed to an address different from the one on your ID, the instructions require an attached notarized letter.
How do I submit the application?: The form’s location and mailing address fields are blank. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

This Application for a Non-Genealogical Certification or Certified Copy of a Vital Record doesn’t need a notary — but if you have another Bloomingdale form that does, a commissioned online notary can help.