Where do I download the Texas Designation
To Obtain a Vital Record authorization form?

If you need to order a Texas birth certificate replacement or order a Texas death certificate certified copy you will need to complete, sign, and download below Texas DSHS Designation To Obtain a Vital Record VS – 140.4 authorization form and get it properly notarized physically in person (it cannot be a digital, online or e-notarization) by a U.S notary public.

The three other required documents that you must email us is our order form, a valid copy of your government ID, and a prepaid FedEx or UPS return shipping label so we can mail your new certified birth or death certificate copy back to you.

==> Vital Record Authorization Form



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