Get Statement From Requestors Not Possessing An Acceptable ... - Dsf Health State Pa

This guide provides detailed instructions on how to complete the Statement From Requestors Not Possessing An Acceptable Government Issued Photo-ID for the Department of Health in Pennsylvania. Following these steps will ensure your application is correctly filled out and submitted for processing.

Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by declaring that you do not possess a government-issued photo ID and list the two documents you are providing as proof of identification. Ensure these documents include your name and current address.
3. Complete the signature section at the end of the form where you affirm that the information you provided is accurate and complete.
4. Fill in your name, residence address, city, state, and zip code in the designated fields. If you utilize a P.O. Box, ensure that one of the documents you submit confirms your use of it for at least two months.
5. Indicate the full name of the individual whose birth or death record you are requesting in the appropriate field.
6. Provide photocopies of the two acceptable documents that verify your identity. Ensure the documents listed (e.g., utility bill, pay stub, bank statement) are included.
7. Check that the 'Official Use Only' section is left blank, as it will be completed by the Vital Records staff.
8. Finally, save your changes, and choose to download, print, or share the completed form as needed.

Complete your documents online to ensure smooth processing.