(1) A qualified applicant requesting a certification of birth must submit the following information as it appears on the birth record on a form provided by the state or local registrar:

(a) First, middle, and last name of the subject of the record;

(b) First and last name of all parents listed on the record;

(c) Date of birth; and

(d) City or county where the birth occurred.

(2) A qualified applicant requesting a certification of death must submit the following information on a form provided by the state or local registrar:

(a) First and last name of the decedent as it appears on the record;

(b) Approximate date of death; and

(c) City or county where the death occurred.

(3) For the purpose of this section:

(a) "Birth" includes delayed birth.

(b) "Death" includes fetal death.