Homepage Fill Out a Valid Vs 6 Virginia Template
Structure

Gaining access to vital records is a necessary step for a variety of legal, personal, and professional reasons. The Commonwealth of Virginia provides a structured avenue through which individuals can request certifications of vital records such as birth, death, stillbirth, marriage, and divorce documents via the VS6 Application form. For a fee, and with a commitment to authenticity underscored by the serious implications of applying under false pretenses, requesters are guided through a process that necessitates the provision of specific details including the name of the requester, the relationship to the person on the certificate, and the reason for the request, all aimed at safeguarding personal information. Importantly, this process also requires the submission of identification to ensure the requester's legitimacy, thereby maintaining the integrity of sensitive data. The variety of documents accepted as identification highlights the flexibility and accessibility of the process, ensuring that individuals can successfully navigate the requirements for obtaining crucial documents while adhering to Virginia's statutory guidelines.

Vs 6 Virginia Example

VS6-2/06

COMMONWEALTH OF VIRGINIA

Application for Certification of a Vital Record

Virginia statutes require a fee of $12.00 be charged for each certification of a vital record or for a search of the files when no certification is made. Please make check or money order payable to State Health Department. There is a $50.00 service charge for returned checks.

Name of Requester: ________________________________________________ Daytime Phone Number (______)___________________________

(person requesting the certificate)

Address: ________________________________________________ City: ___________________________ State: __________________ Zip: ___________________

What is your relationship to the person named on the certificate? (Check one)

____ Self _____ Mother ____ Father _____ Child ______ Current Spouse ____ Sister _____ Brother _____ Maternal Grandparent

_____ Paternal Grandparent ______Legal Guardian (submit custody order) _____ Other (Specify) _________________________________

What is your reason for requesting this certificate? ____________________________________________________________________

I understand that making a FALSE application for a vital record is a FELONY under state and federal law.

Signature of Requester: ___________________________________________________________________________

IMPORTANT: The person requesting the vital record must submit a copy of their identification. See list on reverse side.

BIRTH CARDS ARE NO LONGER AVAILABLE.

BIRTH

Number

Name at Birth:

 

 

 

 

 

 

 

of Copies

If name has changed since birth due to adoption, court order, or any reason

Paper: ____________

other than marriage, please list changed name here:

 

 

 

_________________________________________________________________________________

 

Date of Birth:

 

 

Race:

 

Sex:

 

 

Place of Birth:

Hospital of Birth:

 

 

 

 

 

(City/County in Virginia)

 

 

 

 

 

 

 

Full Maiden Name of Mother:

 

 

 

 

 

 

 

 

Full Name of Father: _______________________________________________________________

DEATH

STILLBIRTH

 

 

 

 

 

 

Number

Name of Deceased: ________________________________________________________________

of Copies: ___________

 

 

 

 

 

 

 

Date of Death:

 

Age at Death:

 

 

Race:

 

Sex: __________

 

Place of Death:

 

 

 

Hospital Name: ______________________

 

 

 

 

(City/County in Virginia)

 

 

 

 

Full Maiden name of Mother: _______________________________________________________

 

Full Name of Father: _______________________________________________________________

 

 

 

 

 

 

 

 

 

MARRIAGE

 

 

 

 

 

 

 

 

Number

Full Name of Husband:

 

 

 

of Copies: ____________

 

 

 

 

 

 

 

 

 

Full Name of Wife:

 

 

 

DIVORCE

 

 

 

 

 

 

 

 

Number

Marriage - Date:

Place:

of Copies: ____________

 

 

 

 

 

 

 

 

 

Divorce - Date:

 

Place:

 

 

 

 

 

 

 

 

 

(City/County in Virginia)

 

If Marriage, place where license was issued: _____________________________________________

 

 

 

 

 

 

 

 

 

Please indicate the address you wish the certificate(s) mailed to in the box below. -- Please type or print clearly.

Name

Send Completed Application To:

Address

Division of Vital Records

 

P. O. Box 1000

 

Richmond, VA 23218-1000

City/State/Zip

(804) 662-6200

 

www.vdh.virginia.gov

The State Registrar reserves the right (§32.1-271C) to accept or deny any application submitted.

ACCEPTABLE IDENTIFICATION

SUBMIT ONE (1) DOCUMENT FROM THE PRIMARY LIST OR TWO (2) DOCUMENTS FROM THE SECONDARY LIST.

The acceptable documents listed may change without prior notice.

PRIMARY LIST

1.Photo Drivers License issued by US DMV office - unexpired or expired for not more than one year

2.Photo Learners/Instruction Permit issue by US DMV office -unexpired or expired for not more than one year

3.Photo Identification Card issued by US DMV Office - unexpired or expired for not more than one year

4.Current Photo Identification Card - (school, employment). Check Cashing Cards are not acceptable

5.Military Card - unexpired - active duty or retired member

6.U.S. Passport – unexpired

7. Foreign Passport with Visa, I-94 or I-94W - unexpired

8.U.S. Certificate of Naturalization - (form N-550, N-570 or N-578)

9.U.S. Certificate of Citizenship - (form N-560 or N-561)

10.U.S. Citizen Identification Card - (form I-197)

11.Temporary Resident Card - unexpired - (form I-688)

12.Employment Authorization Card - unexpired - (form I-688A, I-688B)

13.Refugee Travel Document - unexpired- (form I-571)

14.Resident Alien Card – unexpired - (form I-551)

15.Permanent Resident Card - unexpired - (form I-551)

16.Northern Marianas Card - unexpired - (form I-551)

17.Asylum - A copy of the first and last page of application for Asylum

18.Birth Abroad (Consular Report) of a Citizen of the U.S.A. (form FS-240)

19.Birth Abroad (Certification of Report) of a Citizen of the U.S.A.

20.Virginia Criminal Justice Agency Offender Information Form

21.United States Probation Offender Information Form

SECONDARY LIST

22.U.S. Selective Service Card

23.U.S. Military Discharge Papers - (form DD214)

24.Certified School Records/Transcript issued by a U.S. state or territory

25.Enrollment, Certificate of - issued by VA Dept of Education

26.Life insurance policy

27.

HEALTH CARE INSURANCE CARD

28.Welfare/social services identification card with photo - unexpired – issued by municipality

29.Photo Drivers License - issued by US DMV office expired not more than 5 years

30.Photo Learners/Instruction Permit - issued by US DMV office expired not more than 5 years

31.Photo Identification card - issued by US DMV office expired not more than 5 years

32.U. S. Passport - expired not more than 5 years

33.Foreign Passport - expired not more than 5 years, with a VISA,

34.

Military dependent ID card, with photo - unexpired

35.

Weapons or gun permit issued by federal state or municipal government-unexpired

36.

Pilots License – unexpired

37.

INS form I-797 (applicable only for individuals whose names appear on the form)

38.

IAP-66 U.S. Department of State form (applicable only for the individuals whose names

 

appear on the form).

39.

Veterans Universal Access Identification Card

Form Properties

Fact Detail
Purpose Application for Certification of a Vital Record in Virginia, including birth, death, marriage, divorce, and stillbirth certificates.
Fee $12.00 for each certification or search when no certification is made.
Payment Method Payments made payable to the State Health Department via check or money order.
Service Charge for Returned Checks $50.00 service charge for returned checks.
Identification Requirement Requesters must submit a copy of their identification.
Felonious Act Warning Making a FALSE application for a vital record is a FELONY under state and federal law.
Governing Law Virginia statutes and the authority of the Division of Vital Records under §32.1-271C to accept or deny any application.

Steps to Filling Out Vs 6 Virginia

Filling out the VS 6 Virginia form is a critical step for individuals needing certification of vital records in Virginia. This process requires attention to detail to ensure the accuracy and completeness of your application. Below, you'll find straightforward instructions to guide you through each section of the form. Prior to starting, gather all necessary information and documents to streamline the procedure. Remember, a fee is required, and proper identification must accompany your application.

  1. Start by writing the Name of Requester in the provided space. This should be the name of the person requesting the certificate.
  2. Enter the Daytime Phone Number, including the area code, ensuring it’s a number where you can be reached during the day.
  3. Provide your complete Address, including City, State, and Zip code in the corresponding fields.
  4. Select your relationship to the person named on the certificate by checking the appropriate box. If you select "Other," specify your relationship in the space provided.
  5. Clearly state your reason for requesting this certificate in the dedicated area.
  6. Sign the form in the space provided under the declaration that acknowledges the seriousness of making a false application.
  7. On the reverse side of the form or as per the instructions, attach a copy of your identification. Refer to the list of acceptable primary and secondary documents to ensure compliance.
  8. If requesting a birth certificate, fill in the required information about the person’s name at birth, date of birth, race, sex, place of birth, hospital of birth, and full names of both parents.
  9. For a death or stillbirth certificate, include the name of the deceased, date of death, age at death, race, sex, place of death, hospital name, and the full maiden name of the mother and full name of the father as required.
  10. If requesting a marriage or divorce certificate, provide the full names of the husband and wife, and the date and place of marriage or divorce. If applicable, include the place where the marriage license was issued.
  11. Specify the number of copies needed for each type of certificate in the appropriate section.
  12. Indicate the address to which you wish the certificate(s) to be mailed in the designated box, ensuring it’s complete and accurate.
  13. Finally, send the completed application along with the check or money order for the fee to the Division of Vital Records at the address provided on the form.

After submitting the form, your application will be processed. The processing time can vary, so allow sufficient time to receive your requested certification. If additional information or documentation is needed, the Division of Vital Records will contact you. It's essential to respond promptly to any requests from the office to avoid delays in processing your application.

FAQ

What is the VS 6 Virginia form?

The VS 6 Virginia form is an application used to request a certification of a vital record in Virginia. Vital records include birth, death, marriage, and divorce certificates. The Commonwealth of Virginia requires a fee for each certification or search of the files when no certification is made.

Who can request a vital record using the VS 6 form?

Individuals who may request a vital record include the person named on the certificate, mother, father, child, current spouse, sister, brother, maternal grandparent, paternal grandparent, legal guardian with a custody order, or others who must specify their relationship.

What is the fee for requesting a vital record?

A fee of $12.00 is charged for each certification of a vital record or a search when no certification is issued. A $50.00 service charge applies for returned checks. Payments should be made to the State Health Department.

What are the acceptable forms of identification?

Applicants must submit one document from the primary list or two documents from the secondary list, which include:

  • Unexpired photo driver's license or one expired for not more than one year
  • Military card for active duty or retired members
  • Unexpired U.S. passport
  • Permanent Resident Card
  • And other specified documentation.

How do I submit the VS 6 Virginia form?

The completed application and the required identification should be mailed to the Division of Vital Records, P.O. Box 1000, Richmond, VA 23218-1000. Ensure all information is clear and legible to avoid delays.

Can I request a birth card using this form?

As of the last update, birth cards are no longer available through the VS 6 Virginia form application process. Only certifications of vital records can be requested.

What should I do if my check is returned?

If your check is returned, you will be subjected to a $50.00 service charge. It is advisable to ensure adequate funds are available in your account before submitting a payment to avoid such charges.

What information is required when requesting a death certificate?

When requesting a death certificate, you need to provide the name of the deceased, the number of copies required, date of death, age at death, race, sex, place of death, hospital name (if applicable), and the full maiden name of the mother and full name of the father.

Common mistakes

Filling out the VS6 Virginia form for the application of vital records involves attention to detail and an understanding of the requirements. Mistakes in the process can lead to delays or rejection of the application. Below are six common mistakes people make when completing this form.

  1. Not using the precise name listed on the vital record. It’s crucial to enter the name exactly as it appears on the record. Any deviation, even minor, can lead to processing issues.
  2. Incorrect or incomplete payment information. Since the form requires a fee, providing incorrect payment information or neglecting to include the fee altogether can result in an application being unprocessed.
  3. Failing to specify the relationship to the person on the certificate. The application asks for the requester's relationship to the subject of the record. Not clearly specifying this or choosing the wrong category can cause complications.
  4. Leaving mandatory fields blank. Every field on the form is important. Missing information, especially in critical sections like the number of copies or the specific type of document requested, may delay the process.
  5. Omitting proper identification. The submission of a copy of the applicant's identification is mandatory. Overlooking this requirement or submitting unacceptable forms of ID will impact the application's approval.
  6. Not clearly stating the reason for the request. A clear and valid reason for requesting the certificate is necessary. Vague or missing reasons might not fulfill the state's criteria for releasing the vital record.

To avoid these common mistakes, applicants should:

  • Double-check the information against the vital record they are requesting.
  • Ensure the payment is for the correct amount and properly addressed.
  • Review the listed relationships and select the one that accurately describes their connection to the person on the record.
  • Fill out every field, paying special attention to the mandatory ones.
  • Refer to the list of acceptable identification documents and include the proper form when submitting the application.
  • Clearly articulate their reason for the record request, making sure it aligns with the parameters set by the state.

By paying close attention to these details, applicants can streamline the process, helping ensure a smoother transaction and quicker receipt of the requested vital record.

Documents used along the form

When dealing with the VS 6 Virginia form, an essential document for requesting certifications of vital records such as birth, death, marriage, and divorce certificates in Virginia, individuals often find themselves needing additional documents to complete their applications or to support various processes and verifications. These documents not only complement the VS 6 form but also play critical roles in various legal, personal, and bureaucratic contexts. Understanding these documents eases the process of application and ensures a smoother engagement with Virginia's state protocols.

  • Photo Driver's License: Issued by a US DMV office, this serves as primary identification for the requester, valid even if expired for not more than one year.
  • U.S. Passport: An unexpired passport acts as a powerful form of identification, evidencing the requester's nationality and identity.
  • Certified School Records/Transcript: Issued by any U.S. state or territory, these verify the requester's educational background, often required for applications that necessitate proof of education.
  • U.S. Military Discharge Papers (DD214): Provide evidence of military service and discharge status, crucial for veterans' benefits and services.
  • Permanent Resident Card: An unexpired I-551 form that proves the lawful permanent resident status of the requester in the United States.
  • Refugee Travel Document: Form I-571, required for refugees or asylee status verification, and can be necessary for travel and identification purposes.
  • Certification of Report of Birth Abroad: Essential for individuals born to U.S. citizen parents abroad, proving their citizenship status.
  • Health Care Insurance Card: Helps verify insurance coverage, often required for medical records and sometimes needed when requesting certain types of certificates.

This list represents just a fraction of the documents often used in conjunction with the VS 6 form. Each document carries specific significance and serves particular functions in the ambit of legal, personal, and official undertakings. Whether fulfilling statutory requirements, asserting identities, or facilitating legal processes, these documents collectively ensure that individuals can navigate through Virginia's administrative requirements with confidence and efficiency.

Similar forms

The VS-6 Form in Virginia, an Application for Certification of a Vital Record, shares similarities with a range of other formal requests and application documents designed to obtain or verify personal and legal information. These documents generally require the requester to provide identifying details, the reason for the request, and in many instances, a fee. This form's comprehensive nature makes it an essential tool for individuals looking to secure official documentation for various purposes.

One closely related document is the Birth Certificate Application form found in many states across the US. Like the Virginia VS-6 form, these applications necessitate the provision of detailed personal information about the individual whose birth record is being requested, the requester's relationship to that individual, and often, the reason for the request. These forms similarly mandate a fee for processing and issue and require applicant signatures to affirm the truthfulness and accuracy of the information provided. The emphasis on authentication and the lawful use of obtained records is a shared priority between the VS-6 form and other birth certificate applications, highlighting their role in maintaining individual and public record integrity.

Another similar document is the Death Certificate Request Form. This form, too, necessitates comprehensive details about the deceased, including date and place of death, full names of parents, and the requester's relationship to the deceased. The Virginia VS-6 form encompasses this aspect as well, catering to requests for death certifications alongside other vital records. Both types of documents underscore the importance of accurate vital records and are guarded by privacy laws, ensuring that sensitive information is released only to authorized individuals. These forms play a critical role in legal and estate matters, reinforcing the continuity and security of personal and familial legacies.

Lastly, the Marriage License Application bears resemblance to the VS-6 form by requiring personal details about the parties involved, including any previous marital statuses. The process for requesting a marriage license or a marriage certificate similarly involves verifying the applicant's identity and eligibility. The structured process mirrors that of the VS-6 form in its safeguarding of the legality and propriety of vital records. Both documents contribute to a larger framework of legal documentation that protects individual rights and upholds the integrity of civic records.

Dos and Don'ts

When filling out the VS 6 Virginia form, which is an application for the certification of a vital record, it's important to understand the requirements to ensure the process is completed correctly and efficiently. Here are four essential dos and don'ts:

Things You Should Do

  1. Provide accurate information: Double-check all the details like names, dates, and addresses you enter on the form to ensure they are correct and match the official documents.
  2. Check your relationship to the person on the certificate: Make sure to accurately state your relationship to the individual named on the certificate, as this affects your eligibility to receive the document.
  3. Include acceptable identification: Submit a copy of your identification that meets the requirements. If choosing from the primary list, one document is sufficient. If from the secondary list, two documents are necessary.
  4. Sign the application: The form requires the signature of the requester. By signing, you acknowledge the understanding that making a false application is a felony offense under both state and federal law.

Things You Shouldn't Do

  1. Do not leave sections blank: Complete all sections of the form that are applicable to your request. If a section does not apply, write “N/A” instead of leaving it empty.
  2. Do not submit without checking the fee requirement: Ensure you include the correct fee of $12.00 for each certification requested. Make your check or money order payable to the State Health Department.
  3. Do not provide expired identification unless specifically allowed: Most identification documents must be unexpired. If submitting an expired document, ensure it falls within the acceptable timelines stated in the instructions.
  4. Do not forget to state the reason for your request: You must specify why you are requesting the certificate, as certain records are restricted to authorized individuals for specific purposes.

Misconceptions

When it comes to understanding the VS 6 (Application for Certification of a Vital Record) form in Virginia, several misconceptions commonly arise. It’s important to clarify these misunderstandings to ensure the process of requesting vital records is smooth and straightforward. Below are four common misconceptions explained in detail:

  • Any form of identification is acceptable: People often believe that they can use any form of identification to request a vital record. However, the form specifies that only certain types of identification are acceptable. Applicants must submit one document from the primary list or two documents from the secondary list. Examples from the primary list include an unexpired photo driver's license or a military card. The secondary list includes items like a U.S. Selective Service Card or certified school records.
  • There’s a flat fee for all requests: While the form indicates a fee is required, the misconception lies in the belief that this fee is uniform for all requests. The form states a $12.00 fee is charged for each certification or a search of the files when no certification is made. However, it's important to note potential additional fees, such as the $50.00 service charge for returned checks, which applicants might not anticipate.
  • Any relative can request a vital record: Often, people assume any family member can request a vital record. The form, however, outlines specific relationships to the person named on the certificate that are eligible to make a request. These include self, mother, father, child, current spouse, sister, brother, maternal grandparent, paternal grandparent, and legal guardian with submitted custody order. "Other" relationships must be specified and are subject to the registrar’s approval.
  • Birth cards are available upon request: There is a belief that individuals can request birth cards. This is incorrect as the form explicitly states, “BIRTH CARDS ARE NO LONGER AVAILABLE.” This clarification is crucial for individuals who might be seeking to obtain a compact version of the birth record.

Understanding these misconceptions can help applicants accurately complete the VS 6 form, ensuring a smoother process when requesting vital records in Virginia.

Key takeaways

Filling out the VS 6 Virginia form, an Application for Certification of a Vital Record, is straightforward if you know the correct steps and what to expect. Here's a comprehensive guide to help you navigate through the process smoothly and efficiently.

  • Understand the Fee Structure: It's essential to know that a non-refundable fee of $12.00 is charged for each certificate request or for a search when no certificate is issued. This fee supports the administrative costs of processing your application. Additionally, be prepared for a $50.00 service charge if your check is returned for any reason.
  • Identify Your Eligibility: The form requires you to specify your relationship to the individual named on the certificate. Whether you are a close family member, a legal guardian with the necessary documentation, or have another specified relationship, understanding and accurately stating this relationship is crucial for your application to be processed.
  • Document Verification: One of the key requirements is submitting valid identification along with your application. You have the flexibility to provide one form of primary identification or two forms from the secondary list. This requirement ensures the security and confidentiality of personal records, safeguarding against unauthorized access and identity fraud.
  • Completeness and Accuracy: The importance of filling out the application thoroughly and correctly cannot be overstated. Incomplete or inaccurate applications can lead to delays or even the denial of your request. Ensure that all sections are filled out, including the number of copies needed and the detailed reason for your request. Don't forget to sign the application, as this is your acknowledgment of the legal implications of making a false application for a vital record.

This guide is designed to make the process of requesting a vital record in Virginia as seamless as possible. By following these key takeaways, you can avoid common pitfalls and ensure that your application is processed in a timely manner. Remember, each vital record is a valuable document, and the Commonwealth of Virginia takes the responsibility of issuing these records seriously to protect the privacy and rights of its citizens.

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