HomeMy WebLinkAbout51-04 - Res. Public Health Service Fees Mason County Board of Commissioners
Resolution No . 5:1 - 04
Whereas , the provision of public health services and activities within Mason County
requires the collection of fees to compliment other sources of revenue,
Whereas, it is the role and responsibility of Mason County Board of Commissioners to
set policy for Mason County Department of Health Services concerning the funding of
public health programs and activities in Mason County and to set fees accordingly,
Whereas, the Mason County Board of Health held a public hearing on June 3 , 2004 for
the purpose of taking public testimony and to deliberate on the appropriate fees for public
health goods and services , and adopted the fee schedule per Board of Health Resolution
02 - 04 ,
Now therefore be it resolved, the fee schedule, policy and fees for issuing birth
certificates , and policy for refund of fees as shown in Attachment "A" is hereby adopted
as the Mason County Department of Health Services Fee Schedule, effective July 1 ,
2004 .
Dated this 15t" day of June, 2004 Mason County Board of Commissioners
Mason County, Washington
Attest : J Chair
GCVO,
erk of the Board Commissioner
p roved 4s to Form : ` \
� J Nnimissioner
Mike E . Clift
Mason County Chief Deputy Prosecuting Attorney
lttachment A
` Masson County Gc t of Health Services , Personal
Health
Policy and Fees for Issuing Birthifi
VITAL RECORD APPLICATION INSTRUCTION
FOR WASHINGTON STATEBIRTH CERTIFICATE
Please print clearly. Incomplete applications will be returned without processing . Make
check or money order payable to " Personal Health Services . "
1 . Effective July 26, 2003 the pre-paid fee for each certified copy of a birthcertificate
issued will be $ 17. Two dollars of the seventeen dollars goes to the Department of Health ,
Center for Health Statistics for the purpose of developing and maintaining the state vital
records systems , including a web=based electronic death registration system . Five dollars
helps fund the Forensic Investigation Council , a fund supporting autopsies and death
investigation at the local/county levels . Eight dollars stays with the local health jurisdiction .
2 . Birth certificates applied for before 3: 00 p. m can be picked up after 4: 00 p . m . the same day.
Birth certificates applied for after 3 : 00 p. . will be available for pick-up after 4 : 00 p . m . the
following day (allow 24 weeks from date of birth for newborns) . For expedited service
(when applying in person) , please add $3 . 0 for the total order.
3 . Local County Health Departments are Finked into the Washington State Dept. of Health
Center for Health Statistics birth database and can usually issue certified birth certificates
state-wide. Currently, Washington State birth records from1938 to present are on this
database. For births between 1907 and 1938 , application must be made with the Center for
Health Statistics in Olympia, (360) 2364300 . Washington State began filing birth and death
records on July 1 , 1907 . Birth certificates prior to that date must be obtained in the county of
event.
5 . If a matching record is found, a certified copy will be issued for pick-up or will be sent to the
mailing address indicated : If no record is found or cannot be issued at the local level , a letter
will be sent followed by a refund of $5 . 00*. If a birth certificate is not picked up in 30 days , the
certificate will be mailed to the address on the form .
6 . Anytime a record is searched for and is found or not, a search fee of $ 8 . 00 is
charged that is not refundable or transferable®
Send complete application and $ 17 . 00 fee for each certified copy requested to address below.
Mason County Dept of Health Services, Personal Health
303 N 40' Street
Shelton , WA 9868
* $ 17.00 less $8 .00 non-refundable search fee plus $4.00 processing fee.
Attachment A
Mason County Department of Health Services
Policy for Refunds of Fees
The Mason County Department of Health Services (MCDHS) Director or their designee may
authorize a refund of fees collected by the Department. Fees will be refunded according to the
following guidelines ,
Vital Records Fees
1 . Anytime a record is searched for and is not found a non-refundable
$ 8 . 00 search fee plus a $4. 00 processing fee is charged.
All Other Program Fees
1 . Fees will not be refunded after processing work has been substantially done (such as research
for a travel clinic visit or a site visit for a septic system), or after a permit has been issued.
2. Not more than 80% of a fee maybe refunded if no work has been done.
3 . Requests for refunds shall be in writing utilizing MCDHS forms, shall be by the original
applicant, and must be accompanied by the original receipt.
4. A minimum of $ 50 will be held for administrative costs .
5 . Provided, however, that when the payment for a service or permit was an error of the Mason
County Department of Health Services staff, a 100% refund shall be made.
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