Out of Province Service Request Ordering Certificates / Documents

Transcription

1 egistry Connect uthorized gent for the Government lberta, Vital Statistics PO Box 386, Edmonton, lberta, Canada 5J 2J6 elephone (780) , Fax (780) his form is for non-residents lberta and for events that occurred within lberta. Out Province Service equest Ordering s / Documents Before completing this application check below to see if you are eligible to apply for Vital Statistics' documents, as there are restrictions. s and / or Photocopies a egistration Birth he person whose name is on the birth registration. he parent(s)* the person whose birth is registered as established by registration documents or by court documents. guardian, trustee, or person with power attorney for the person whose birth is registered as established by court documents. Pro is required. ny person with written authorization from the person whose birth is registered or from the parents* the person whose birth is registered. ny person with an order from the court. Court document is required. person adopting a child may apply for that child's biological birth certificate. Pro a pending adoption is required. he legal representative for an eligible applicant or a legal representative who requires it for ficial duties. Pro occupation is required (e.g. business card, etc.). ny person who requires it to comply with the Child, Youth and Family Enhancement ct or the Parentage and Maintenance ct. Pro is required. ny adult next--kin** a person whose birth is registered when that person is deceased. (Common-law is included as next--kin). he executor a person's estate, when the person whose birth is registered is deceased. Pro is required. When the person whose birth is registered is deceased and there are no eligible applicants, an fspring a deceased next--kin** may apply. n Ex-spouse the person named on the birth registration is only eligible to obtain a Confirmation verifying birth details. Marriage person whose marriage is registered. ny person with written authorization from a person whose marriage is registered. he legal representative for an eligible applicant or a legal representative who requires it for ficial duties. Pro occupation is required (e.g. business card, etc.). ny person with an order from the court. Court document required. guardian, trustee or person with power attorney, for a person whose marriage is registered as established by court documents. Pro is required. When a party to the marriage is deceased, their adult next--kin** may apply. he executor an estate when either party to the marriage is deceased. Pro is required. When both parties to the marriage are deceased and there are no eligible applicants, an adult fspring a deceased next-kin** may apply. Death ny adult next--kin** the deceased person. (Common-law is included as next--kin). guardian, trustee, or person with power attorney for the deceased person whose death is registered as established by court documents. Pro is required. ny person with written authorization from the person who is an adult next--kin** to the deceased person whose death is registered. he legal representative for an eligible applicant or a legal representative who requires it for ficial duties. Pro occupation is required (e.g. business card, etc.). he executor the deceased person's estate. funeral home representative who is making, or has made, arrangements for the deceased person. n organization that provides benefits to the deceased persons' survivors or beneficiaries (e.g. insurance company, trust company, financial institution). ny person with an order from the court. Court document required. n Ex-spouse the deceased, at the discretion the Director Vital Statistics. Medical s Death & Medical s Stillbirth Only adult next--kin** may apply. Pro relationship is required. (f a birth certificate is supplied it must show parentage.) EXCEPONS When a birth record is 100 years old or When a marriage record is 75 years old or When a death record is 50 years old or * Parent(s): the name(s) shown on the legal egistration Birth, or as recognized by court documents. ** Next--kin: Mother, father, brother, sister, children, spouse, or common-law spouse. his definition can be found in the Fatality nquiries ct. his definition does not include in-laws, grand children, grandparents, step relatives, aunts, uncles, nieces or nephews. Persons who have been adopted or who have placed their child for adoption are not "next kin" to biological relations. EG3317 (2007/05)

2 MPON NFOMON Processing time application Under normal circumstances, and if the application has been completed correctly, certificates / documents are usually sent out within five business days receipt. Unless other arrangements have been made, certificates / documents are sent out to the applicant s address. Documents available to order lberta Vital Statistics maintains a registration record all births, marriages, deaths, and stillbirths (events) that occur in lberta. f a record or event cannot be found, a search for a three-year period is carried out automatically and the applicant will be notified. s containing the following information: Birth Small - Full name individual, date birth, place birth, sex, registration number, registration date. Size: 9.5 x 6.4cm (3 ¾ x 2 ½"). - Same as small, plus the names parents and birthplaces parents (province/country only). Marriage Small - Name groom, name bride, date marriage, place marriage, registration number, registration date. Size: 9.5 x 6.4cm (3 ¾ x 2 ½"). - Same as small, plus the birthplace groom and bride (province/country only). Death - Name deceased, age deceased at the time death, date death, place death, usual residence the deceased (province/country only), sex, marital status, registration number, registration date. photocopy contains all the information appearing on the original egistration Birth, Marriage, Death and Stillbirth. For Death and Stillbirth a photocopy the original Medical Death or Stillbirth is available. See the first page to find out if you are eligible to request this as there are restrictions. NOE: Photocopies are rarely needed by citizens and are, by law, for restricted use only. hey are generally only required for court or consulate purposes. hey are not recommended for use as identification purposes. s search letter only states that according to the lberta Vital Statistics fice an event is or is not recorded. No actual information is provided or confirmed. Each search is a three-year period or portion there. EG 3317 (2007/05)

3 Cost s he cost for each certificate/photocopy registration/search letter or genealogical search is $40.00 Canadian Dollars which includes GS and the certificate(s) being returned by regular mail. Please note that postal regulations do not allow cash to be sent through the mail. ow to submit an application ll applications must be sent to egistry Connect and addressed as follows (we cannot accept any applications by ): Sending by regular mail: Note: You must be a minimum age 14 egistry Connect to apply. Children under the age PO Box must have a parent or guardian Edmonton B 5J 2J6 apply on their behalf. Sending by registered mail or courier: egistry Connect he BusinessLink Service Centre, 100, Street, Edmonton B 5J 1B1 Sending by fax: Fax application to Fax orders must be paid by credit card. Please do not fax in applications more than 1 time. Each application received will be processed and all fees will apply. f you are concerned that your fax did not arrive, please call or egistry Connect..D. that is faxed in must be enlarged and made lighter so the information is clear and legible. clear copy current identification must be submitted with each application. photocopy one the acceptable items identification shown below must be included with the application. he identification must be valid (not expired) and belong to the applicant, showing name, document.d. number and expiry date. Driver s Licence/D Card Birth Passport reaty Status Card Citizenship Card mmigration Visa ** hese are the only 6 types.d. that are accepted. ow to apply for a certificate when identification is lost or stolen n eligible applicant can apply on your behalf (see the first page for who is eligible to apply). family member or trusted friend can apply on your behalf. letter authorization/permission written and signed by you must be included with the application. Note: his person now becomes the applicant and must provide their name, address, phone number, signature, date, etc. in the upper portion the application and must attach a photocopy their identification. hey can request that the certificate be sent to you at your address if you wish. EG 3317 (2007/05)

4 PN CLELY he information below will be used to mail your documents. ll areas this section MUS be completed O the application will be returned. egistry Connect uthorized gent for the Government lberta PO Box 386, Edmonton, lberta, Canada 5J 2J6 elephone (780) , Fax (780) registry.connect@aara.ca pplication for /Documents Vital Statistics Full Name pplicant elephone Number (during the day) Mailing ddress: partment No. Street ddress City / own / Village Province / Country Postal / Zip Code f Company, ttention Your eference Number (if applicable) eason equired State Your elationship to Person Named on B photocopy personal identification must be provided and ype.d. attached to this application. See "mportant nformation" pages for a list acceptable.d. Signature pplicant Date Signed (mm/dd/yyyy) x Complete the appropriate section(s) below for the type certificate you require. ll fields within that section must be completed. f you cannot provide this information, attach a written explanation O the application will be returned. Last Name (give MDEN name if certificate is for a married woman) Date Birth Last Name Father Maiden Name Mother Day Year Place Birth (city, town or village) Only Births that occurred in lberta Name ospital Where Birth Occurred Birthplace Father Known by any Other Last Name Birthplace Mother.D. Number he Quantity column must be completed. Each item is $40.00 ype Quantity Small Female egistration M G E Last Name Groom Last Name Bride (prior to this marriage) Date Marriage Day Year Birthplace Groom Birthplace Bride Place Marriage (city, town or village) Only Marriages that occurred in lberta Small egistration D E Last Name Deceased Date Death Place Death (city, town or village) Day Year Only Deaths that occurred in lberta Usual esidence Deceased Prior to Death (province / country) Date Birth Day Year ge Female Marital Status Never Married Married Common Law Widowed Divorced egistration Medical (estricted) S L L B Last Name Date Stillbirth Last Name Father Maiden Name Mother EG3317 (2007/05) Place Stillbirth (city, town or village) Day Year Only Stillbirths that occurred in lberta Female Name ospital Where Stillbirth Occurred Birthplace Father Known by any Other Last Name Birthplace Mother his information is being collected for the purposes vital statistics records in accordance with the Vital Statistics ct. Questions about the collection this information can be directed to the Freedom nformation and Protection Privacy Coordinator for the lberta Government, Box 3140, Edmonton, lberta 5J 2G7, (780) egistration Medical (estricted)

5 his page must be completed and sent with the application. Cost s: Each certificate/document costs $40.00 Canadian Dollars. Choose one the following service options: (please do not send in your own pre-paid or pre-addressed envelopes any kind). egular Service For all Services Options: - Cost - $40 per document fee only (no other fees will apply). f applicable, provide address: - egular processing application. - Document sent out by regular mail. Expedited Service - Cost - $40 per document fee, plus $23.40 priority processing service fee. - Priority processing application. - Document sent out by regular mail. Urgent / ush Service - Cost - $40 per document fee, plus $23.40 rush processing service fee, plus the delivery fee the courier. (Delivery cost varies according to the destination. egistry Connect will add the courier cost to the sub total and charge your credit card accordingly). - ush processing application. - Document sent out by ush courier (fastest delivery option). mportant! he following information applies to all Urgent / ush Service requests: f your documents are being delivered to a company, the company name, full street address, postal code, phone number and contact name must be provided. f the contact person is not you, please provide an explanation. Courier packages cannot be delivered to a PO Box or left in a mailbox. For delivery by courier, provide a daytime address where the package can be delivered to a person and signed for. ny additional costs for an undeliverable or redirected item will be charged directly to the client. For Urgent / ush Courier Service payment must be made by credit card only. he total amount charged to your credit card will include: the cost for the certificate(s) each certificate is $40, plus the rush processing service fee $23.40, plus the delivery fee the courier (delivery costs vary according to the destination). Payment Options - payment is non-refundable. $25.00 service fee is charged for all NSF or returned payments. Cheque or Money Order (for Canadian or merican residents only). Cheque or Money Order payable to egistry Connect. Number s: mount Enclosed: $ Credit Card - Number s: egular Service $40 per document fee only (no other fees will apply). Expedited Service - $40 per document fee, plus $23.40 priority processing service fee. Urgent / ush Service - $40 per document fee, plus $23.40 rush processing service fee, plus delivery fee courier. Visa Master Card Expiry Date Credit Card Number Month / Year / authorize egistry Connect to charge my credit card according to the service option and number certificates have chosen above. X ( ) Name Cardholder (as shown on credit card) Signature Cardholder Phone number Cardholder Please PN your address clearly: EG 3317 (2007/05)