California Sworn Statement Instructions and Guidelines
This file provides essential instructions to complete a sworn statement for health records. It outlines who can submit a sworn statement and the notarization requirements. Utilize this guide to ensure a smooth application process for obtaining vital records.
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How do I fill this out?
To fill out this sworn statement, first ensure that you are an authorized person as defined by the law. Complete all required fields including your relationship to the registrant. Finally, present the form for notarization to validate its authenticity.

How to fill out the California Sworn Statement Instructions and Guidelines?
1
Verify your eligibility as an authorized person.
2
Fill out the necessary details regarding the registrant.
3
Indicate your relationship to the registrant.
4
Sign the document in the presence of a Notary Public.
5
Submit the notarized document as instructed.
Who needs the California Sworn Statement Instructions and Guidelines?
1
Parents requesting birth certificates for their children.
2
Legal guardians seeking vital records for dependents.
3
Attorneys obtaining records for court-related matters.
4
Funeral directors needing death certificates for legal compliance.
5
Law enforcement officials requiring records for investigations.
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1
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2
Use the editing tools to fill out the necessary fields.
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Make any additional changes as needed.
4
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5
Save the edited document upon completion.

What are the instructions for submitting this form?
To submit your sworn statement, send the completed form along with any required documents to the appropriate county vital records office. Submission can typically be done by mail or in-person. Always ensure that you keep a copy for your records before sending it off.
What are the important dates for this form in 2024 and 2025?
Important dates may vary by agency or record type; be sure to check for deadlines specific to the records you are requesting. For birth records, keep in mind any relevant statutory limitations. Always verify with the California Department of Public Health for the latest updates.

What is the purpose of this form?
The purpose of this sworn statement is to establish the identity and eligibility of individuals requesting vital records. It serves as a legal declaration under penalty of perjury. This form is essential for protecting the confidentiality and integrity of sensitive information.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant's Printed Name: The full name of the person requesting the record.
- 2. Registrant: The name of the individual whose vital record is being requested.
- 3. Applicant's Relationship to Registrant: A declaration of the relationship between the applicant and registrant.
- 4. Notary Section: Details for the notary public to confirm the identity of the applicant.
What happens if I fail to submit this form?
Failure to submit this form properly can delay the processing of your request.
- Incomplete Information: Missing details may result in your application being rejected.
- Lack of Notarization: Not having the necessary notarization can invalidate your submission.
- Incorrect Applicant Eligibility: Submissions from unauthorized individuals will not be accepted.
How do I know when to use this form?

- 1. Birth Certificates: For obtaining copies of birth certificates for personal or legal use.
- 2. Death Certificates: For accessing death certificates required for funeral or estate matters.
- 3. Marriage Certificates: To obtain copies of marriage certificates for legal purposes.
Frequently Asked Questions
Who can fill out this sworn statement?
Authorized individuals such as parents, legal guardians, or attorneys may fill out this form.
What documents are needed for submission?
You may need to provide a valid ID and proof of relationship to the registrant.
How do I notarize the sworn statement?
The statement must be signed in the presence of a Notary Public for it to be valid.
Can I edit the PDF online?
Yes, you can edit your sworn statement using PrintFriendly’s PDF editing tools.
Is there a fee to submit this form?
Fees may vary based on the type of record requested; check with the relevant agency.
How long does it take to receive the document?
Processing times can differ; please check with the issuing agency for specifics.
Can I submit this statement electronically?
Check with the local agency for their accepted submission methods, as some may allow electronic submissions.
What do I do if my application is denied?
Contact the agency to understand the reasons for denial and how to address them.
Do I need to fill out the entire form?
Make sure to complete all required sections to avoid processing delays.
Where can I get my sworn statement notarized?
You can visit a local notary public's office for notarization services.
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