DOH SD
SOUTH DAKOTA APPLICATION FOR A VITAL RECORD Military Fee Waiver Request VITAL RECORDS 207 E MISSOURI AVE, STE #1A PIERRE SD 57501 605-773-4961 This application must be completed and signed in order to be accepted. Incomplete applications will be returned. Eligible applicants can use the Military Fee Waiver to obtain a record at no charge when the record is being used for a claim against the government. See Instructions. SECTION 1 - APPLICANT INFORMATION - This is the name of the person applying for the vital record MoreFull Name. Street Address. City, State, Zip. Phone Number. Signature. Today's Date. SECTION 2 - FOR MAIL IN APPLICANTS ONLY - Applicants who are Less
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