(1) Each application for a certified copy of a vital record must be in writing and contain the applicant's name, signature, address and the purpose for which the certified copy is needed.

(2) For a certified or non-certified copy of a birth record, in addition to the requirements of (1) , the request must include:

(a) the registrant's full name and date of birth;

(b) the place (town or rural location and county) of birth;

(c) the mother's full maiden name (first, middle and last) ;

(d) the father's full name, if available; and

(e) the applicant's relationship to the registrant.

(3) For a certified or non-certified copy of a death record, in addition to the requirements of (1) , the application must include:

(a) the registrant's full name;

(b) the date of death; and

(c) the county of death.