ࡱ> U bjbjnn 4aa< 22yz~,W!j"#lxxxxxxx$<|~.x$ ^W!$$x22O|yh'h'h'$"2lxh'$xh'h'l4,rЈ$o>xy0yEoV >%  |rr& r$$h'#$ /$S$$$xxJ&$$$y$$$$ $$$$$$$$$ B : WASHINGTON COUNTY REGISTER OF DEEDS Chapter 69.21 Wis.Stats. 432 E. WASHINGTON STREET P.O. BOX 1986 WEST BEND WI 53095 (2020-FormBC-1)WISCONSIN BIRTH CERTIFICATE APPLICATION (for Mail or In-Person Requests)PENALTIES: Any person who illegally possesses any vital record with knowledge that the vital record has been illegally obtained is guilty of a Class I felony (a fine of not more than $10,000 or imprisonment of not more than 3 years and 6 months, or both, per s. 69.24(1)]. I. APPLICANT INFORMATIONThe information in Section I is about the person completing this application.YOUR CURRENT NAME - First  FORMTEXT      Middle  FORMTEXT      LAST  FORMTEXT       YOUR STREET ADDRESS (CANNOT be a P.O. Box address)  FORMTEXT      City/State/Zip Code  FORMTEXT      YOUR DAYTIME TELEPHONE NUMBER  FORMTEXT      EMAIL ADDRESS  FORMTEXT      TYPE OF VALID PHOTO IDPHOTO ID NUMBERSTATE OF ISSUANCE EXPIRATION DATE II. APPLICANTS RELATIONSHIP TO PERSON NAMED ON THE CERTIFICATEPer Wis. Statute s69.20(1), a CERTIFIED copy of a birth certificate is only available to those with a direct and tangible interest" (A E). CHECK ONE box which indicates YOUR RELATIONSHIP to the PERSON NAMED on the birth certificate. A.  FORMCHECKBOX  I am the PERSON NAMED on the birth certificate. B. I am a member of the immediate family of the person named on the birth certificate.  FORMCHECKBOX  Parent (my name is on the birth certificate and my parental rights have not been terminated.)  FORMCHECKBOX  Brother/Sister  FORMCHECKBOX  Current Spouse  FORMCHECKBOX  Child  FORMCHECKBOX  Maternal Grandparent  FORMCHECKBOX  Paternal Grandparent  FORMCHECKBOX  Current Domestic Partner (registered in the Wis. Vital Records System) C.  FORMCHECKBOX  I am the legal custodian or guardian of the PERSON NAMED on the birth certificate. D.  FORMCHECKBOX  I am a representative authorized by any person in category A, B or C, including an attorney. Specify whom you represent. ________________________________________________________________ E.  FORMCHECKBOX  I can demonstrate that the birth certificate is necessary for the determination or protection of a personal or property right. Specify your interest _______________________________________________________________________ F.  FORMCHECKBOX  None of the above. I am requesting an uncertified copy. (Copy will not be valid for identity or legal purposes.) NOTE: Grandchildren, stepparents, stepchildren and stepbrothers/stepsisters may only obtain certified copies as categories C-E. PURPOSE FOR WHICH CERTIFICATE IS REQUESTED: III. FEESFEES: FIRST copy is $20. EACH additional copy of this record (at the same time) is $3. (It is illegal to photocopy a certified record)  FORMCHECKBOX  First certified copy................................................ $ 20.00 __20.00____  FORMCHECKBOX  Each additional copy of the same record, issued at the same time as the first copy ___________________ X $ 3.00 ___________ Number of additional copies TOTAL ___________ Make check or money order payable to: REGISTER OF DEEDSBe sure to include (1) Completed form (2) acceptable identification (3) any additional proof or authorization required (4) self-addressed stamped business-size envelope and (5) check or money order MAIL APPLICATION AND FEE TO: REGISTER OF DEEDS PO BOX 1986 WEST BEND, WI 53095IV. BIRTH RECORD INFORMATIONBIRTH NAME - First  FORMTEXT      Middle  FORMTEXT      Last Name as on the birth certificate  FORMTEXT      SEX  FORMCHECKBOX  Male  FORMCHECKBOX  FemaleBIRTHDATE (MM/DD/YYYY)  FORMTEXT      PLACE OF BIRTH - County  FORMTEXT      PLACE OF BIRTH  City, Village, or Township  FORMTEXT      PARENT S BIRTH NAME - First  FORMTEXT      Middle  FORMTEXT      Last  FORMTEXT      PARENT S BIRTH NAME - First  FORMTEXT      Middle  FORMTEXT      Last  FORMTEXT      I hereby attest that the information provided on this application is correct to the best of my knowledge and belief and that I am entitled to copies of the requested birth certificate in accordance to the categories listed above.  SIGNATURE (Applicant) Date Signed (Month / Day / Year)  WISCONSIN BIRTH CERTIFICATE APPLICATION INSTRUCTIONS What is the difference between a certified and an uncertified copy of a birth certificate? A CERTIFIED COPY: Is printed on security paper, has a raised seal, and shows the signature of the State Registrar or Local Registrar. Can be used for legal purposes. Can only be obtained with a direct and tangible interest as defined in Wis. Stat. 69.20(1). AN UNCERTIFIED COPY: Is printed on plain paper and marked  uncertified. Is for information purposes only and cannot be used for identity or legal purposes. Contains the same information as a certified copy. 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