{"data":{"id":"us-il/410-ilcs-535-25.7","jurisdiction":"us-il","citation":"410 ILCS 535/25.7","heading":"Certification letter form.","body":"In order to seek a waiver of the fee for a copy of a vital record, the person seeking the record must provide the following certification letter:\nCertification Letter for Domestic Violence Waiver for Illinois Vital Records\nFull Name of Applicant:...............................\nDate of Birth:........................................\nI,........................, certify, to the best of my knowledge and belief, that on the date listed below, the above named individual is a victim or child of a victim of domestic violence, as defined by Section 103 of the Illinois Domestic Violence Act of 1986 (750 ILCS 60/103), who is currently fleeing a dangerous living situation. I provide this certification in my capacity as (check one below):\n( ) an advocate at a family violence center who assisted the victim;\n( ) a licensed medical care or mental health provider;\n( ) the director of an emergency shelter or transitional housing; or\n( ) the director of a transitional living program.\nSignature:................. Date:........................\nTitle:..................... Employer:....................\nEmail:..................... Phone:.......................\nAddress:................... City:........................\nState:..................... Zip:.........................","path":["CHAPTER 410 PUBLIC HEALTH","Vital Records Act."],"source_url":"https://www.ilga.gov/legislation/ILCS/details?ActID=1573\u0026ChapterID=35\u0026ChapAct=FullText\u0026Print=True","current_through":"at least Public Act 104-790","vintage":"","retrieved_at":"2026-09-15T04:46:36Z","sha256":"c653e621dba43b7a8e03acdf5782515deaed09372594cc28861d8f19622bf825","source_id":"us-il","stale":false,"prev":"us-il/410-ilcs-535-25.6","next":"us-il/410-ilcs-535-26"},"notice":"GroundRules: Original legal text. Not legal advice."}