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Key takeaways
Understanding the Massachusetts R 109 Form is crucial for anyone seeking a non-certified birth record prior to adoption. Here are key takeaways to ensure a smooth application process:
- Only specific individuals can apply for the record. This includes adoptees born in Massachusetts before July 14, 1974, and certain family members of deceased adoptees.
- Application fees vary based on submission method. It costs $32.00 for mail requests and $20.00 for in-person applications. Always avoid sending cash through the mail.
- Proper identification is required. Applicants must provide a government-issued photo ID. If applying by mail, include a photocopy of this ID.
- Documentation is essential. If your name has changed since the adoption, you must provide certified copies of documents that prove your name change, such as marriage certificates or court decrees.
Completing the R 109 form accurately and providing the necessary documentation will help expedite your request. Make sure to follow all instructions carefully to avoid delays in processing your application.
Documents used along the form
The Massachusetts R 109 form is an important document for individuals seeking a non-certified record of birth prior to adoption. Along with this form, several other documents may be needed to ensure a smooth application process. Below is a list of commonly used forms and documents that often accompany the R 109.
- Identification Document: A valid, non-expired driver’s license, state-issued ID, or passport is required to verify your identity when applying either in person or by mail.
- Proof of Name Change: If your current name differs from the name at the time of adoption, you must provide a certified copy of a legal name change decree or marriage certificate to establish your identity.
- Death Certificate: If you are applying for a deceased parent’s record, you need to submit a certified copy of their death certificate to prove your relationship.
- RV Bill of Sale: For those dealing with recreational vehicles, it’s essential to have a proper bill of sale. This document can be found at https://californiapdf.com/editable-rv-bill-of-sale/, providing details needed for a smooth transaction.
- Birth Certificate: To confirm your connection to the deceased parent, a certified copy of your own birth certificate may be necessary, showing you as their child.
- Legal Guardianship Document: If you are the legal guardian of a child under 18 years old, a certified copy of the legal guardianship document will be required to support your application.
- Supplemental Documentation: Depending on your situation, additional documents may be needed. These could include any other legal documents that clarify your relationship to the adoptee or the circumstances of the adoption.
By gathering these documents ahead of time, you can streamline your application process for the Massachusetts R 109 form. It’s always a good idea to double-check the requirements to ensure you have everything you need for a successful submission.
Document Information
| Fact Name | Details |
|---|---|
| Purpose | The Massachusetts R 109 form is used to request a non-certified record of birth prior to adoption. |
| Application Fee | Requests made by mail require a fee of $32.00, while in-person requests cost $20.00. |
| Eligibility | Adoptees born in Massachusetts before July 14, 1974, and certain family members can apply for the record. |
| Identification Requirements | Applicants must provide a valid government-issued photo ID. Mail applications require a photocopy of the ID. |
| Governing Law | This form is governed by Massachusetts General Laws, Chapter 46, Section 2B. |
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Guide to Writing Massachusetts R 109
Completing the Massachusetts R 109 form involves several key steps to ensure that your application for a non-certified record of birth prior to adoption is processed efficiently. Follow these instructions carefully to avoid delays in receiving your requested documents.
- Obtain the Massachusetts R 109 form from the Registry of Vital Records and Statistics or download it from their website.
- Print the form legibly in black or blue ink.
- In the "SUBJECT OF THE RECORD (ADOPTEE)" section, fill in the following details:
- Number of copies requested.
- Full name on the current birth record (name at adoption).
- Date of birth (Month, Day, Year).
- Full name of adoptive mother/parent and her maiden surname.
- Full name of adoptive father/parent.
- City/Town of birth.
- Name on pre-adoption birth record (if known).
- In the "PERSON MAKING REQUEST" section, provide your full legal name, relationship to the adoptee, mailing address, and telephone number(s).
- Sign and date the "AFFIDAVIT OF APPLICANT" section. If applying by mail, this must be done in the presence of a notary public.
- Gather required identification and documentation:
- If applying in person, bring a valid government-issued photo ID.
- If applying by mail, include a clear photocopy of your ID.
- Provide any additional documentation required based on your relationship to the adoptee (e.g., marriage certificate, birth certificate).
- Prepare your payment. If applying by mail, include a check or money order for $32.00 made payable to the Commonwealth of Massachusetts. If applying in person, bring cash, check, or money order for $20.00.
- Submit the completed form and required documents either by mail to the address provided or in person at the Registry counter.
After submission, the Registry of Vital Records and Statistics will process your application. If your birth record is located, you will receive a copy. Should there be any issues with your application, it will be returned with a refund. For further inquiries, contact the Registry directly.
Similar forms
The Massachusetts R 109 form is an application for a non-certified record of birth prior to adoption. It shares similarities with several other documents used for vital records and identification purposes. Below is a list of nine documents that are comparable to the R 109 form, detailing their similarities.
- Application for Birth Certificate: Like the R 109 form, this application requests a copy of an individual's birth record. It typically requires personal information, identification, and a processing fee.
- Application for Marriage Certificate: This document is used to obtain a copy of a marriage record. Similar to the R 109, it necessitates identification and may require proof of relationship or legal status.
- Application for Death Certificate: This form allows individuals to request a copy of a deceased person's death record. It also requires identification and may involve proof of relationship, mirroring the requirements of the R 109.
- Request for Adoption Records: This document is used to access records related to an adoption. It often requires proof of relationship and identification, similar to the R 109's requirements for adoptees and their relatives.
- Application for Social Security Card: This form requests a new or replacement Social Security card. It requires identification and proof of citizenship, akin to the identification requirements of the R 109.
- Application for Passport: This application is for obtaining a passport and necessitates proof of identity and citizenship, paralleling the identification requirements found in the R 109 form.
- Application for Driver's License: This document is used to apply for a driver's license and requires proof of identity and residency, similar to the identification needed for the R 109 form.
- Bill of Sale Form - For authenticating the transfer of personal property, check out our informative Colorado bill of sale form guide for essential details and requirements.
- Application for Legal Name Change: This form requests a legal change of name and requires documentation supporting the name change, much like the R 109's need for proof of name change.
- Request for Vital Records Correction: This document is used to correct information on a vital record. It typically requires supporting documentation and identification, similar to the R 109’s process for verifying information.