<p> BIRTH VERIFICATIONS</p><p>The Department of Health and Wellness Promotion, Vital Records Division has changed the process for receiving Administrative Copies of Birth Certificates. In the past, this office has provided free copies of birth records to certain non-profit agencies and schools for OFFICE USE ONLY. However, this office will no longer provide a photocopy of birth records.</p><p>Effective August 1, 2005, the Detroit Vital Records Office will ONLY provide “Verification” for City of Detroit births. The attached Verification Form must be completed and signed by the designated representative from the non-profit agency or school. A photocopy of your work ID will be required for processing all requests.</p><p>The verifications are available for minors up to 17 years old and for adults with a documented physical or mental disability only.</p><p>If you need additional information, please contact the Vital Records Office at 876-4927.</p><p>2.030 VERIFICATION OF A DETROIT BIRTH FOR SCHOOL ENROLLMENT ONLY</p><p>Mail Requests to: Detroit Vital Records 1151 Taylor Detroit Michigan 48202 (313) 876-4135 Please type or pint clearly and legibly Date __/___/_____ DO NOT COMPLETE THIS FORM IF THE CHILD WAS NOT BORN IN DETROIT</p><p>SCHOOL NAME</p><p>MAILING ADDRESS</p><p>CITY STATE ZIP REQUESTOR’S NAME – TITLE</p><p>Name at Birth ______first middle last</p><p>Date of Birth ______Hospital ______(Minors up to 17) </p><p>Mother’s Maiden Name ______</p><p>Father’s Name ______</p><p>DO NOT WRITE BELOW THIS BOX – FOR THE VITAL RECORDS STAFF ONLY</p><p>TURN-AROUND TIME Mail-in Requests: Processing time will be 2-4 weeks. To ensure proper receipt of requested information, please include a self-addressed stamped envelope.</p><p>WORK ID A photocopy of a work ID will be required from a Teacher, Principal, Assistant Principal or Secretary only. This box is for internal use only</p><p>Certificate # - Year ______</p><p>FILE DATE ______</p>