Birth & Death Information Application Form

To request birth information click here, print and complete the form and

send completed form with the $5.00 fee to:
(Disregard the mailing address at the to of the form)

Clerk and Recorder
Fallon County Court House
Attention: Birth/Death
Box 846
Baker, Montana 59313

CLICK HERE to see the list of proper identification needed to receive a birth or death certificate

To request death information click here, print and complete the form and

send completed form with the $3.00 fee to:
(Disregard the mailing address at the to of the form)

Clerk and Recorder
Fallon County Court House
Attention: Birth/Death
Box 846
Baker, Montana 59313