Get Il Dph Ioci 18-121 2017-2026

Filling out the IL DPH IOCI 18-121 form online is a straightforward process that allows users to request verification of dissolution of marriage or civil union records. This guide will provide step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to fill out the IL DPH IOCI 18-121 form accurately.

1. Click the ‘Get Form’ button to access and open the IL DPH IOCI 18-121 form in your preferred editor.
2. Select the type of dissolution you are inquiring about by checking either the 'Dissolution of Marriage' or 'Dissolution of Civil Union' box.
3. Complete the 'Name of Husband/Partner' section by entering the first, middle, and last/maiden names, along with the date of birth.
4. Fill out the 'Name of Wife/Partner' section similarly, providing the required details.
5. Input the 'Place of Dissolution of Marriage/Civil Union' by including the city, county, and state information.
6. Provide the 'Date of Dissolution of Marriage/Civil Union' by selecting the month, day, and year.
7. Enter the total amount you are enclosing for the request, specifying how many copies you are requesting at the rate mentioned in the form.
8. In the 'Application Made By' section, fill in your name, street address, city, state, and ZIP code.
9. Sign the form in the designated area before submission.
10. Make your payment by check or money order payable to the Illinois Department of Public Health. Ensure not to send cash.
11. Attach a legible copy of your non-expired government-issued photo ID to the completed form.
12. Return the filled-out form and payment to the address provided for the Illinois Department of Public Health.

Complete your IL DPH IOCI 18-121 form online today for a seamless verification process.