PLEASE ENLARGE AND LIGHTEN THE I.D.
AND FAX TOLL-FREE TO 877-684-5852

Acceptable forms of I.D. include a valid driver's license, passport, military I.D., or State-issued non-driving I.D. card.
If submitting a copy of a military I.D., please include both the front and back of the I.D.
The State records offices in Colorado, Idaho, and Utah require the front and back of the I.D.(excluding passport)
The Arizona records office requires an I.D. with signature; this will usually exclude a military I.D.

PLEASE SIGN UNDERNEATH THE I.D. IN THE SPACE PROVIDED.

YOU MAY CALL THE CUSTOMER SERVICE LINE AT 1-888-803-1118
TO VERIFY RECEIPT OF YOUR FAX

Signature:__________________________________________________________

Please print the full name of the certificate holder(s) in the space provided below.
(example: full birth name on the application if requesting a birth certificate)

__________________________________________________________

PLEASE ENLARGE AND LIGHTEN THE I.D. AND FAX TOLL-FREE TO 877-684-5852

PLEASE SIGN UNDERNEATH THE I.D. IN THE SPACE PROVIDED.

YOU MAY CALL THE CUSTOMER SERVICE LINE AT 1-888-803-1118 TO VERIFY RECEIPT OF YOUR FAX

PLEASE ENLARGE AND LIGHTEN THE I.D.
AND FAX TOLL-FREE TO 877-684-5852

YOU MAY CALL THE CUSTOMER SERVICE LINE AT 1-888-803-1118
TO VERIFY RECEIPT OF YOUR FAX