Get Minnesota Department Of Health Form B105

This guide provides clear and concise instructions for users filling out the Minnesota Department Of Health Form B105 online. Understanding each section and its requirements is crucial in ensuring a smooth application process.

Follow the steps to successfully complete the form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin with the 'Birth Record Information' section. Fill in the first name, middle name, last name, date of birth, and the city and county of birth. Choose the gender of the individual by selecting either 'Male' or 'Female'.
3. In the 'Information to be Amended' section, check the boxes for the items you wish to change or add. Make sure to provide the correct information in the designated spaces for each checked item, whether it is related to the subject, mother, or father.
4. Proceed to the 'Requester Information' section. Enter your name, date of birth, mailing address, daytime phone, and email. Indicate your relationship to the subject of the birth record by selecting the appropriate box.
5. In the 'Signature and Notary Information' part, you will certify the accuracy of the provided information. Sign the form in the designated space. If required, note the notary details including their signature and commission expiration.
6. Complete the 'Fee and Payment Information' section by checking the applicable items and entering the total amount due. Specify the type of payment you will use, whether credit card, check, or money order. If using a credit card, provide the necessary card details.
7. Finally, save any changes you've made, and once completed, you can download, print, or share the form as needed. Ensure that you mail the application along with the payment to the provided address.

Complete your documents online now to streamline your process.