Free Massachusetts R 109 Template in PDF

The Massachusetts R 109 form is an important document for those seeking a non-certified record of birth prior to adoption. Along with this form, several other documents and forms may be necessary to ensure a smooth application process. Below is a list of commonly used documents that often accompany the R 109 form.

• Identification Documents: Applicants must provide valid identification, such as a driver's license, state ID, or passport. This helps verify the identity of the person making the request.
• Marriage Certificate: If the applicant's name has changed due to marriage, a certified copy of the marriage certificate is needed to confirm the name change.
• Death Certificate: For those applying for a deceased parent's record, a certified copy of the death certificate is required to establish the relationship.
• Legal Change of Name Decree: If an applicant's name has been legally changed, they must provide a certified copy of the decree to prove their identity.
• Birth Certificate: A certified copy of the applicant's birth certificate may be necessary to show the relationship to the adoptee.
• Hold Harmless Agreement: The arizonapdfforms.com/hold-harmless-agreement is a key document that can help protect parties from liability during events or activities where risks are involved.
• Legal Guardianship Documents: If applying as a legal guardian, certified copies of guardianship documents must be included to establish legal authority.
• Notarized Affidavit: If applying by mail, the applicant must sign the form in front of a notary public, who will verify the authenticity of the signature.
• Supplemental Documentation: Any additional documents requested by the Registry must be included. This could vary based on individual circumstances.
• Application Fee Payment: A check or money order for the application fee must be included with the submission. The fee varies depending on whether the application is made by mail or in person.
• Additional Identification for Mail Applications: If applying by mail, a clear photocopy of the identification document must be enclosed to support the application.

Being prepared with these documents can help streamline the process of obtaining a birth record prior to adoption. Ensure all forms are filled out accurately and all required documents are included to avoid delays.

• Birth Certificate: Similar to the Massachusetts R 109 form, a birth certificate is an official document that provides details about a person's birth, including their name, date of birth, and parents' names. Both documents serve as vital records and can be used to establish identity and lineage.
• Death Certificate: Like the R 109 form, a death certificate is a vital record that documents the death of an individual. It includes information such as the deceased's name, date of death, and cause of death, and can be used for legal purposes, including settling estates.
• Motor Vehicle Bill of Sale: In line with official documentation requirements, a Texas Motor Vehicle Bill of Sale serves as a critical record for vehicle transactions. It ensures legal ownership transfer and acts as a safeguard for both buyers and sellers. For more information, visit UsaLawDocs.com.
• Marriage Certificate: This document is akin to the R 109 form in that it serves as a legal record of a marriage. It includes the names of the parties involved, the date of marriage, and often the location. Both documents may require proof of identity for issuance.
• Legal Name Change Document: Similar to the R 109 form, a legal name change document officially recognizes a change in a person's name. This document provides proof of identity and is often required when updating other vital records.
• Adoption Decree: This document is closely related to the R 109 form as it finalizes the legal adoption process. It includes the names of the adoptive parents and the adopted child, serving as a crucial record for establishing legal relationships.

1. What is the Massachusetts R 109 form?

   The Massachusetts R 109 form is an application for a non-certified record of birth prior to adoption. It is used by individuals who wish to obtain a copy of the initial birth record of an adoptee born in Massachusetts before July 14, 1974, or by certain eligible individuals related to the adoptee.

2. Who is eligible to apply for a record using the R 109 form?

   Eligible applicants include:

   • Adoptees born in Massachusetts on or before July 14, 1974.
   • Adult children (18 years or older) of deceased adoptees born in Massachusetts on or before July 14, 1974.
   • Parents or guardians of children (under 18 years) whose deceased parent was an adoptee born in Massachusetts on or before July 14, 1974.
   • Adoptive parents of children (under 18 years) born in Massachusetts on or after January 1, 2008.
   • Adult adoptees (18 years or older) born in Massachusetts on or after January 1, 2008, starting January 1, 2026.

3. What is the fee for requesting a record?

   The fee for obtaining a record by mail is $32.00 per copy. If you are applying in person, the fee is $20.00 per copy. Payments should be made via check or money order, payable to the Commonwealth of Massachusetts. Cash is accepted in person, but should not be sent through the mail.

4. What identification is required when applying?

   Applicants must provide valid identification. Acceptable forms include:

   • Valid, non-expired driver’s license
   • Valid, non-expired identification card
   • Valid, non-expired passport issued by a department of motor vehicles

   If applying by mail, a clear photocopy of the ID must be included. Alternative identification may require prior approval from the Registry of Vital Records and Statistics (RVRS).

5. What happens after I submit my application?

   Once the application is submitted, RVRS will review it for completeness. If the birth record is located, you will receive a copy of the initial birth record prior to adoption. The copy will include information such as the legal parents listed at the time of birth and will be printed on security paper to deter fraud.

6. What if my application cannot be processed?

   If your application cannot be processed for any reason, it will be returned to you along with a refund. However, if you do not sign for the record sent via certified mail and it is returned to RVRS, no refund will be issued.

7. Is notarization required for mail applications?

   Yes, if you are applying by mail, you must sign and date the application in the presence of a notary. The notary will certify your signature, confirming its authenticity.

8. What should I do if I have further questions?

   If you have additional questions or need assistance, you can contact the Registry of Vital Records and Statistics at (617) 740-2600 or via email at vital.recordsrequest@state.ma.us.