Marin County Office of Vital Statistics
Marin County Department of Health & Human Services
20 North San Pedro Road, suite 2006
San Rafael, CA 94903
(415) 499-6876
Office hours: Monday – Friday, 8:30am-4:00pm

The Marin County Office of Vital Statistics provides the following services:  

• Certified Birth Certificates
• Certified Death Certificates
• Application for the State Medical Marijuana Photo Identification Card

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Birth Certificates:

Birth records are maintained at the Marin County Office of Vital Statistics for the current year and the previous year only for all Marin County births (birth certificates those born outside of Marin County must be obtained at the County or State office of birth). All other past years including the years mentioned above are kept at the County Recorder’s office in the Civic Center building ( 3501 Civic Center Drive), room 232, (415) 499-6092. http://www.co.marin.ca.us/depts/AR/main/Recorder.cfm#BDM_Certificates

Birth Certificates can be requested either in person or by mail.

Birth Certificate orders by mail:

• Application forms are provided to the mother prior to discharge from the hospital with instructions on how to obtain the birth certificate. You may request that an application form be sent to you through the US Mail by calling (415) 499-6876, or you can download and print as follows:
• English application form w/ instructions
• Spanish application form w/ instructions

• Application must be completed and mailed in with check or money order in the amount of $14.00 (please call if you need assistance in completing the application, 415-499-6876).

• Certificate of Acknowledgement must be completed and signed in presence of a Notary Public. If this is not done requestor must come into the office for in-person signature.

• If ordering multiple birth certificates, separate “Application for Certified Copy of Birth Record” must be submitted.

• Multiple birth certificates may be ordered w/ one Certificate of Acknowledgement however the sworn statement must include the name of each individual whose birth certificate is being requested with the person’s relationship to that individual. The $14 fee applies to each certificate being ordered.

• Applications are mailed to:

  Marin County Office of Vital Statistics 20 North San Pedro Rd, suite 2006 San Rafael , CA 94903

• The birth certificate will be mailed to you at the address indicated on the “Applicant Information” section of the application form within 2 business days of receipt of application and/or registration of birth.

* Please Note: birth record must be received by Marin County Office of Vital Statistics from the hospital of birth before a birth can be registered and birth certificate produced. If receipt of the birth certificate is time-sensitive, please call the Marin County Office of Vital Statistics at 415-499-6876 to verify that record has been received from hospital.

Birth Certificate orders in-person:

• Birth Certificates may be obtained on a drop-in basis in the Marin County Office of Vital Statistics

• Application forms are available at the office or can be printed out and completed prior to arriving at the office. You must sign the Certificate of Acknowledgement section in the presence of Vital Statistics staff.
• English application form
• Spanish application form

• The fee is $14.00 for each birth certificate being requested payable by check, money order, or cash.

Death Certificates:

Death records are maintained at the Marin County Office of Vital Statistics for the current year and the previous year only for all Marin County deaths (death certificates for deaths that occurred outside of Marin County must be obtained at the County or State office of place of death). All other past years are kept at the County Recorder’s Office in the Civic Center building ( 3501 Civic Center Drive), Room 232 (415) 499-6092. http://www.co.marin.ca.us/depts/AR/main/Recorder.cfm#BDM_Certificates

Death Certificates may be requested either in person or by mail. At the time of death, certificates may also be obtained through the funeral home.

Death Certificate orders by mail:

• You may request that an application form be sent to you through the US Mail by calling (415) 499-6876, or you may download and print as follows:
  • English application form w/instructions
  • Spanish application form w/instructions

• Application must be completed and mailed in with check or money order made out to “ County of Marin”. There is a $12.00 charge for each death certificate requested. (Please call if you need assistance in completing the application (415) 499-6876.)

• Certificate of Acknowledgement must be completed and signed in presence of a Notary Public. If this is not done, requestor must come into the office for in-person signature.

• Applications are mailed to:

  Marin County Office of Vital Statistics 20 North San Pedro Rd, suite 2006 San Rafael , CA 94903

• The death certificate will be mailed to you at the address indicated on the “Applicant Information” section of the application form within 2-3 business days of receipt of application and/or registration of death.

Death Certificate orders in-person

• Death certificates may be obtained on a drop-in basis in the Marin County Office of Vital Statistics from 8:30am to 4:00pm Monday through Friday.

• Application forms are available at the Marin County Office of Vital Statistics or may be printed out and completed prior to arriving at the office. You must sign the Certificate of Acknowledgement section in the presence of Vital Statistics’ staff.
• English Application Form
• Spanish Application Form

• The fee is $12.00 for each death certificate being requested and is payable by cash, check or money order made out to “County of Marin”.

Medical Marijuana Photo Identification Card:

Helpful links

• Frequently Asked Questions
• Application Form - can be downloaded and printed from the California Department of Health Services website: http://www.cdph.ca.gov/pubsforms/forms/Pages/MedicalMarijuanaProgram.aspx
• SB 420 text - http://www.chrisconrad.com/expert.witness/sb420-03.htm#text

The Medical Marijuana ID Program, provided by the Marin County Department of Health and Human Services, Office of Vital Statistics, offers seriously ill Marin County residents an efficient and confidential method to verify to law enforcement representatives that they qualify for the use of medical marijuana. This program is consistent with the intent of Proposition 215 (California Health and Safety Code-Section11362.5). This service is available to both patients and their primary caregiver. The current fee for the State of California Medical Marijuana Photo ID Card is $113 (Medi-Cal patients receive a 50% reduction in this fee). The following information outlines the policies and procedures that will be used to issue cards.

PROCEDURES FOR PATIENTS

1. Patients wishing to be certified for the Medical Marijuana ID Card Program may call the Marin County Office of Vital Statistics at 415-499-3288 to request an application packet. Application packets can be obtained in person at 20 N. San Pedro Road/Room 2006, San Rafael, CA (office hours are Monday-Friday 8:30am-4:00pm). An application packet may also be downloaded and printed via the links above. Application packets include: information about SB 420 and the County ID Card Program, Frequently Asked Questions and, the Medical Marijuana Photo ID Card Application.
2. Applications are processed BY APPOINTMENT ONLY at the Marin County Office of Vital Statistics. Call (415) 499-3288 to make an appointment. Marin County Office of Vital Statistics personnel are required by the State of California to verify the following information at the appointment:
   1. The application is complete, including the physician's section.
   2. The physician named by the applicant currently holds a license by the State of California.
   3. The physician has orally confirmed the recommendation of the use of medical marijuana for the patient.
   4. Patients' proof of identity in the form of a photo ID: California State driver's license or ID card; United States Passport; or Veteran's Administration ID Card.
   5. Patients' proof of residency in Marin County in the form of a California State driver's license; a County ID card with a local address; or a recent utility bill, recent mortgage or rental payment that includes the applicants address.
   6. If applicable, the patients' proof of Medi-Cal status (there is a reduced fee for the Medical Marijuana Card for Medi-Cal patients).
3. After verifying the information above (by appointment only), the applicant will be approved for the Medical Marijuana ID Card Program. A fee will be collected and the applicant's photo will be taken (State Card Fee = $113.00, State Card Medi-Cal fee is $56.50). The photo, Medi-Cal status (if applicable), and Medical Marijuana ID card expiration date will be sent to the State of California via a secure web site. The State of California does not receive any other identifying information, such as name or address, from the Office of Vital Statistics.
4. The State of California will issue a photo ID card with the patient's photo, date of expiration, ID number, card verification internet address, and local Office of Vital Statistics contact information. The cards will be sent to the Marin County Office of Vital Statistics within 7 days.
5. ID cards can be picked up at the Marin County Office of Vital Statistics upon receipt from the State of California. Cards will be ready 7-10 days after processing and you will be given the pick up date at your appointment.
6. The fee for Medical Marijuana ID cards is $113. The Medi-Cal fee is $56.50. Cards will be valid for one year from date of application. Applicants must contact the Marin County Office of Vital Statistics to renew their certification (415-499-3288). No notice of expiration will be issued.
7. Lost or stolen ID Cards must be reported immediately so that they can be invalidated and a new card issued. Applicants should keep a record of their ID number in a safe place for reference. To replace a lost, stolen or damaged card, the applicant must reapply for a new card and pay the full fee of $113 ((Medi-Cal = $56.50).
8. Lost or stolen ID Cards must be reported immediately so that they can be invalidated and a new card issued. Applicants should keep a record of their ID number in a safe place for reference. To replace a lost, stolen or damaged card, the applicant must reapply for a new card and pay the full fee of $113 (Medi-Cal = $56.50).

DEPARTMENT OF HEALTH AND HUMAN SERVICES
MEDICAL MARIJUANA ID CARD PROGRAM:
PROCEDURES FOR PRIMARY CAREGIVERS

1. For the purposes of the Medical Marijuana ID Card Program, a primary care giver is an individual "who has consistently assumed responsibility for the housing, health, or safety of a patient who is applying for certification with the program. In order to be certified as a Primary Caregiver for the Medical Marijuana ID Card Program, a patient who is approved for the program must identify the Primary Caregiver as such in section 4 of their application.
2. Applications packets are available upon request by calling the Marin County Office of Vital Statistics at 499-3288. Applicant/caregiver may pick up packets from the Marin County Office of Vital Statistics, 20 N. San Pedro Road/Room 2006, San Rafael, CA., Monday-Friday 8:30am-4:00pm. An application packet may also be downloaded and printed via the links above. Application packets include: information about SB 420 and the County ID Card Program, Frequently Asked Questions and, the Medical Marijuana Photo ID Card Application.
3. Applications are processed BY APPOINTMENT ONLY at the Marin County Office of Vital Statistics. Applicant and primary caregiver must both be present at the appointment. Call (415) 499-3288 to make an appointment. Marin County Office of Vital Statistics are required to verify the following information:
1. The application is complete, including physician's and primary caregiver’s sections.
2. The Primary Caregiver has been named by the patient and has signed and completed section 4 of the Medical Marijuana Photo ID Card Application form.
3. The physician named by the applicant currently holds a license by the State of California.
4. The physician has orally confirmed the recommendation of the use of medical marijuana for the patient.
5. Proof of identity in the form of a photo ID: California State driver's license or ID card; United States Passport; or Veteran's Administration ID Card.
6. Proof of residency in Marin in the form of; a California State driver's license; a County ID card with a local address; or a recent utility bill, recent mortgage or rental payment that documents the local address.
7. recent utility bill; recent mortgage or rental payment;
8. If applicable, the patients' proof of Medi-Cal status (there is a reduced fee for the Medical Marijuana Card for Medi-Cal patients).
4. After verifying the information above, the applicant will be approved for the Medical Marijuana ID Card Program. A fee will be collected and the caregiver applicant's photo will be taken. The photo, caregiver status, Medi-Cal status of the patient, and Medical Marijuana ID expiration date will be sent to the State of California via a secure web site. The State of California does not receive any other identifying information, such as name or address, from the Marin County Office of Vital Statistics.
5. The State of California will issue a photo ID card with the caregiver’s photo, date of expiration, ID number, card verification internet address, and local Office of Vital Statistics contact information. The cards will be sent to the Marin County Office of Vital Statistics within 7 days.
6. ID cards can be picked up at the Marin County Office of Vital Statistics upon receipt from the State of California. Cards will be ready 7-10 days after processing and you will be given the pick up date at your appointment.
7. To give strong protection to physician and patient confidentiality, all forms submitted will be returned to the patient.
8. The fee for Medical Marijuana ID cards is $113. The Medi-Cal fee is $56.50. Cards will be valid for one year from date of application. Applicants must contact the Marin County Office of Vital Statistics to renew their certification. No notice of expiration will be issued.
9. Lost or stolen ID Cards must be reported immediately so that they can be invalidated and a new card issued. Applicants should keep a record of their ID number in a safe place for reference. To replace a lost, stolen or damaged card, the applicant must reapply for a new card and pay the full fee of $113 (Medi-Cal = $56.50).
10. Lost or stolen ID Cards must be reported immediately so that they can be invalidated and a new card issued. Applicants should keep a record of their ID number in a safe place for reference. To replace a lost, stolen or damaged card, the applicant must reapply for a new card and pay the full fee of $113 (Medi-Cal = $56.50).