Pursuant to Health and Safety Code 103526, the following individuals are entitled to an AUTHORIZED Certified Copy of a birth record. How do I obtain an application to request a certified copy of a vital record?I authorize the City of Los Angeles Personnel. Department to obtain employment information from any previous employer. Explore Birth certificate los angeles Application Forms and find the form that suits your needs. CDPH 9126 (PDF)​​ - Application for Requesting a Sealed Record ; VS 12, 13 E (PDF) - Application for Certified Copy of Fetal Death Record or Still Birth Record. Fill out this application form (page 3). If you need an "authorized copy", complete page 5 of the application in front of a notary. How do I fill this out?