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Ion of Vital Records (VDH) to certify/produce a Virginia death, marriage or divorce certificate. Instructions: The requester - the person submitting this application - must complete this application, provide a copy of an acceptable identification document(s) from the list on back of this form, and provide a $12.00 payment to the Virginia State Health Department. Submit to any DMV Customer Service Center. NOTE: Fees paid for a vital records search/document are non-refundable. Virginia statutes re.

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