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Certificate of acknowledgement

Certificate of Acknowledgment 2026

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The document is a Vital Records Authorization Form from the Orange County Clerk/Recorder, outlining the steps required to request a certified copy of a birth or death record. It includes instructions for verifying information, completing and signing the form, and submitting it via fax. A sworn statement is required to affirm eligibility as an authorized person under California law, along with a notarization section if applicable. Additionally, there is a note regarding the submission of photo identification.

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Click ‘Get Form’ to open the Certificate of Acknowledgment in the editor.
Begin by filling in the 'State' and 'County' fields at the top of the form. This information is crucial for proper documentation.
In the section labeled 'On ____, before me,' enter the date when the acknowledgment is being made.
Next, input your name and title as a Notary Public in the designated area. Ensure that this information is accurate to maintain validity.
In the space provided, write down the name of the person signing. This confirms their identity during notarization.
Finally, sign and affix your notary seal at the bottom of the form to complete the acknowledgment process.

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