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Kathy Michael, County Clerk Government Center 115 E Washington Street, Room 102 PO Box 2400 Bloomington, IL 61702-2400 Phone: (309) 888-5190 Fax: (309) 888-5932 Email: [EMAIL REDACTED] Please Note: The fee for a vital record is $15.00 for each copy. This includes the search and the first certified copy. Each additional certified copy of the same record is $9.00. If the record is searched and not located the original search fee of $15.00 still applies. Genealogical record fees are the same and unless otherwise specified, the search will be two years before and two years after the year given. Application for Certified Copy of Vital Record PLEASE MAKE CHECK PAYABLE TO: McLean County Clerk Please Check the Type or Types of Records Requested Then Fill out the Appropriate Sections Below MARRIAGE: BIRTH: DEATH: Birth Name on Record Date of Birth Father/Parent 1 Mother-Maiden/Parent 2 Requested By Parent Self Agent Death Name on Record Date of Death Requested By Spouse Marriage/Civil Union (License/Application*) Groom/Partner 1 Date of Marriage Bride-Maiden/Partner 2 Requested By Partner 1 Partner 2 I, the undersigned Applicant, swear or affirm that I have completed the foregoing Application for a Certfied Copy of a Vital Record and that my relationship to the individual whose name appears on the record requested is correct as stated in said Application. No. of Copies: No. of Copies: No. of Copies: Lic.___ App.___ *Applications can only be acquired a listed partner Intended Address To Which Vital Record Should Be Mailed Name Address City, State, Zip Applicant's Signature Driver's License Number / State Issued By / Expiration Date Date Email Address / Phone Number Date: Ck#: Amt: Requestor: Type: B: M/CU: D: Rept# Birth Records are available from 1860, Marriage Records from 1831, and Death Records from 1871.** CIVIL UNION: Groom Bride Birth Records are available from 1860, Marriage Records from 1831, and Death Records from 1878. The fee for a birth or marriage record is $15 and a death record is $17 for each copy. This includes the search and the first certified copy. Each additional copy of the same record is $9 for a birth or marriage record and $11 for a death record. If the record is searched and not located the original search fee of $15/$17 still applies. Genealogical record fees are the same and will be two years before and two years after the year given. A COPY OF A VALID SIGNATURE ID IS REQUIRED WITH ALL MAIL REQUESTS. Note: ID must be current (not expired). If the expiration date is on the back, provide a front and back copy. The fee for the first certified copy of a birth record is $30; for a death record, $35 and for a marriage record $28. This includes the search. Each additional copy of the same record is $10 for birth, marriage, and death records. If the record is searched and not located, the fee for the first copy still applies to the search. Genealogical record fees are the same, and the search will include two years before and two years after the year given. SIGN