Request for Release of Public Records

Please fill out this form to make a Request for Release of Public Records (Title 51, §24a.1)

Birth or Death Certificate Request
If you need a copy of an Oklahoma birth or death certificate, please visit Vital Records.

Immunization Record
If you need an immunization record, visit the Oklahoma State Immunization Information System.

Food Handler Permit
If you need a copy of your Food Handler Permit, visit here.

"*" indicates required fields

Type of Record*

e.g., inspection, etc. Do not use this form to request immunization records. Visit www.tulsa-health.org/shotrecords to obtain those.

Date of Public Record

e.g., examination date, inspection, etc.

Purpose of Request*

Commercial

News Media

Scholars

Author

Taxpayer

Other

Anticipation of Litigation

Do you request a copy?*

Yes

Your Name*

First Last

Your Email*

Your Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Comments

Signature*

Untitled

This field is for validation purposes and should be left unchanged.

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