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Minnesota Department of Health

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Forms

Request to Add a Historical Birth Record to MR&C
(Interactive PDF: 239KB/1 page)

Historical Data Entry Error Correction Request
(Interactive PDF: 238KB/1page)

Issuance of Multiple Birth Certificates Report
(Interactive PDF: 59KB/1page)

Minnesota Birth Certificate Application
(Interactive PDF: 382KB/2pages)

Application For A Non-Certified Transcript Of A Minnesota Birth Record
(Interactive PDF: 378 KB/2pages)

Minnesota Birth Record Application - Verification
(Interactive PDF: 281KB/1 page)

Minnesota Certificate of Death Application
(Interactive PDF: 381KB/2 pages)

Application For A Non-Certified Transcript Of A Minnesota Death Record
(Interactive PDF: 240 KB/1 page)

Statement to Identify
(Interactive PDF: 86KB/1 page)

Application to Amend a Death Record through a Registrar
(Interactive PDF: 18KB/1 page)

Application to Amend a Death Record through the Funeral Home
(Interactive PDF: 18KB/1 page)

Minnesota Birth Record Application for the Minnesota Department of Human Services
(Interactive PDF: 36KB/1 page)

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