Pursuant to these Proclamations of a State of Emergency, fees for certified copies of birth, death, marriage, and dissolution of marriage records are suspended for any individual who lost such records as a result of the storm. This Proclamation will remain in effect until the Governor terminates the State of Emergency. This Proclamation is available for viewing at:
When requesting free copies of a vital record, survivors of the storm should state on the application, āEarly February Storms,ā and complete the enclosed sworn statement declaring under penalty of perjury that they are a survivor. The sworn statement for winter storm survivors is a combined sworn statement which also includes the sworn statement required by Health and Safety Code Section 103526. For requests sent to the California Department of Public Health ā Vital Records (CDPH-VR), survivors should additionally make the notation āEarly February Stormsā on the front of the mailing envelope, for faster processing.
The application and combined sworn statement must be submitted to complete the request.
Enclosed is a Monthly Transmittal of Fees form (VS 5), that includes a space to report the number of free copies issued by the county. The cell under āTotalā for āNumber of Free Copies Issuedā has been shaded to avoid confusion when calculating the total fees owed.
If you have any questions regarding this matter, please contact the CDPH-VR Production Unit at (916) 552-8116.
Sincerely,
Original Signed By:
Dana E. Moore, MPH, CPH
State Registrar
Deputy Director
Center for Health Statistics and Informatics
Enclosures
CDPH Vital Records, MS 5103 ā P.O. Box 997410 āā Sacramento, CA 95899-7410
(916) 552-8116 ā (916) 552-8170 FAX
Internet Address: www.cdph.ca.gov