Sc Dhec Application Form PDF Details

In the realm of personal and legal documentation, the South Carolina Department of Health and Environmental Control (SC DHEC) Application for Vital Records takes on a critical role for individuals seeking official certifications of birth or death. This comprehensive form requires applicants to provide not only their personal identification but also detailed information concerning the vital record they wish to obtain. A noteworthy mandate is the inclusion of a current photo ID to validate the request, ensuring the integrity of the process. This application caters to various needs, specifying the relationship of the applicant to the individual on the record, which directly influences the entitlement to access such sensitive information. Additionally, applicants must clearly state the purpose behind their request, underlining the form’s adherence to privacy and legal use of these documents. The options available for birth and death certificates encompass different types of certifications, including long forms that offer extensive detail recommended for most legal purposes, and short forms for less formal requirements. The necessity of specifying the type and number of certifications sought, coupled with the corresponding fees, underscores the form's role in facilitating access to vital records, all the while maintaining a stringent check on the legality and appropriateness of each request. The SC DHEC’s meticulous approach, from specifying mailing instructions to ensuring applicants understand the legal significance of their requests, exemplifies the delicate balance between public access and privacy concerns inherent in the management of vital records.

QuestionAnswer
Form NameSc Dhec Application Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namessouth carolina dhec vital, south carolina dhec records, dhec sc gov, sc dhec vital records application

Form Preview Example

Vital Records Birth/Death Application

A photocopy of a current government, school or employer photo identification of the

applicant must be submitted with all requests.

Applications without proper identification will be returned unprocessed.

Name of applicant:_____________________________________________________________ Day phone number:______________________

Address: _____________________________________________________________________________________________________________

City:______________________________________________ State:_______________________________ Zip code:_______________________

Note: Mail from Vital Records will not be forwarded by the USPS.

Address certificate to be mailed to if different than applicant’s address:

Name: _______________________________________________________________________________________________________________

Address: _____________________________________________________________________________________________________________

City: ___________________________________________________________ State: _________________________ Zip code: ______________

Your relationship to person named on the certificate. (Check one - will be used to determine entitlement)

____Self

____ Adult child

____ Family member (specify) ____________________________________________________

____Parent

____ Legal Guardian

____ Legal representative (for whom?)______________________________________________

For what purpose are you requesting this certificate? _______________________________________________________________________

By signing this application, I understand that making a false application for a vital record is a felony under state law.

Signature of applicant: __________________________________________________________________________________________________

BIRTH CERTIFICATES

Full name: ____________________________________________________________________________________________________________

FirstMiddleLastSuffix

Date of birth:_____________________Sex: ________City of birth:___________________________ County of birth: ________________________

Name of mother prior to any marriage:_______________________________________________________________________________________

FirstMiddleLast

Name of father:_________________________________________________________________________________________________________

FirstMiddleLast

Mother's state of birth: ________________________________________ Father's state of birth:________________________________________

Were parents married at time of birth: ___ Yes ___ NoNumber of children born in SC to this mother?____________

Name at birth if ever changed for any reason other than marriage: ________________________________________________________________

Specify the number and type of certification(s) requested: (Long form recommended)

____ Birth long ($12) ____ Additional long ($3 each)

____ Birth short ($12) ____ Additional short ($3 each)

Total fees submitted:__________________

 

 

 

 

DEATH CERTIFICATES

Name of deceased: _____________________________________________________________________________________________________

FirstMiddleLastSuffix

Date of death: _____________________ Sex:_______ Age at death:_______ City/County of death:__________________________________

Specify the number and type of certification(s) requested:

 

 

____ Death long ($12) ____ Additional long ($3 each)

____ Death short ($12) ____ Additional short ($3 each)

 

____ Death statement ($12) ____ Additional statement ($3 each)

 

 

Total fees submitted:_____________________________________

 

 

 

 

 

Send completed application/photocopy of identification to:

SC DHEC – Vital Records

 

 

 

2600 Bull Street, Columbia, SC 29201

 

 

 

 

 

OFFICE USE ONLY

SFN:

DCN:

 

DHEC 0640 (09/2013)

SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL

See back for Instructions and Information

Vital Records Application for Birth and Death Certificates

Instructions and Information

1)One form may be used to request a certified copy of a birth certificate only, or a certified copy of a death certificate only, or a certified copy of a birth and death certificate if for the same individual.

2)Complete all of the information in the top section of the form and all information

in the birth and/or death sections based upon whether a birth, death or both certificate(s) are being requested.

Information

BIRTHS AND DEATHS – SC Law did not require the filing of birth and death records until January 01, 1915. No birth or death records on file at

SCDHEC (county or state) are available for public viewing.

A death record becomes public record fifty (50) years after the date of death. Non-certified copies of public death records are issued unless a certified copy is specifically requested. The $12 "search fee" is required for each request of a public death record.

Death records are avaliable for public viewing fifty (50) years after the date of death ONLY at the SC Department of Archives and History, 8301 Parklane Road, Columbia, 29223, website: http://archives.sc.gov.

TURNAROUND TIME – The usual turn around time for ‘waiting’ on-site customers is approximately thirty (30) minutes during non-peak hours (8:30 am - 11:00 am and 2:00 pm - 4:00 pm). The usual turn around time for "mail" requests is approximately 7 - 10 business days from the date of

receipt.

If it has been more than four (4) weeks since you submitted your request, call (803) 898 3630 to determine the status.

IDENTIFICATION – A valid/current government, school or employer issued photo identification document of the applicant is required before a search of the records will be conducted. Requests that do not contain proper identification will be returned unprocessed. Acceptable documents

are:

1.Any United States’ DMV Office issued picture identification i.e. Driver’s License, ID card, Learner’s Permit (unexpired)

2.Current school or employer picture identification card

3.Military card (unexpired – active duty or retired member)

4.United States Passport (unexpired)

5 Foreign Passport (with unexpired)

6.Re-Entry Permit (l-327 – unexpired)

7.Refuge Travel Document (form l-571 – unexpired)

8.United States Citizen Identification Card (form l-197)

9.Temporary Resident Card (form l-688 – unexpired)

10.Permanent Resident Card (form l-551 – unexpired)

11.Weapon or gun permit issued by federal, state or municipal government (unexpired)

Website – www.scdhec.gov/vr/ provides additional information on SC Vital Records.

PAYMENT – Acceptable methods of payment for mail requests are a money order or cashier’s check made payable to SC DHEC. Onsite customer

service also accepts credit and debit cards and cash.

SEARCH FEE – A $12 “search fee” is required by law. The $12 search fee is non-refundable. The required search fee includes one (1) certifica- tion, if record is located. If additional copies of the same type certification are ordered at the same time, additional copies are $3 each.

TYPE OF CERTIFICATIONS

 

Birth Long contains parentage (recommended)

Death Long includes cause of death

Birth Short/Wallet does not include parentage (not acceptable for most purposes)

Death Short does not include cause of death

 

Death Statement only includes fact of death

DHEC-0640 (09/2013)

 

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How one can prepare sc dhec application part 1

2. When this section is finished, you have to put in the required details in Full name Date of birthSex City, Middle, Last, Middle, First, First, Mothers state of birth Fathers, Were parents married at time of, Number of children born in SC to, Name at birth if ever changed for, Birth short Additional short, Total fees submitted, DEATH CERTIFICATES, First, and Name of deceased Date of death so that you can move on further.

Writing part 2 of sc dhec application

3. Completing Send completed, SC DHEC Vital Records Bull, DCN, DHEC, SOUTH CAROLINA DEPARTMENT OF, and See back for Instructions and is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Completing section 3 of sc dhec application

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