Rule and Procedure Table of Contents


Section 359.77 Payments for Certificates

a) Birth Certificates | b) Death Certificates


a) Birth Certificates

 

Type Service Code                                                                                 Document

1902 Birth Certificates                                                                                   CFS 932

Instructions: Payment may be made to obtain certified copies of birth certificates when required. Refer to Procedures 302, Services Delivered by the Department, Section 302.390(a)(3), Verification of Birth. A request for the birth certificate shall be sent directly to the agency from which a certificate is being requested.

Workers who incur out-of-pocket expenses shall submit a CFS 932, Purchase Authorization, with a receipt and an explanation that the voucher was not accepted. The amount is as required.


b) Death Certificates

 

Type Service Code                                                                                 Document

1903 Death Certificates                                                                                 CFS 932

CFS 402

Instructions: Payment may be made to obtain certified copies of death certificates when required. A request for the death certificate shall be sent directly to the Illinois Department of Public Health, Division on Vital Records, on form CFS 402, Request for Vital Record Verification. A warrant from the Comptroller's Office shall accompany the request.

Workers who incur out-of-pocket expenses shall submit a CFS 932 with a receipt and an explanation that the voucher was not accepted. The amount is as required.

Rule and Procedure Table of Contents