Minnesota Registration & Certification System (MR&C)
Individual User Agreement & Application
Local Issuance Offices
New User Account
Effective date:
Disable User Account
Effective date:
Change User Information (last name, email, phone, user role; add/change location, etc.)
Specify information to be changed:
Name
Email
Phone
County & Office Name
County Office Address
•
•
•
•
•
I will not compromise the security of MR&C by sharing my password or logging into MR&C with any user
ID other than my own. I agree to log out of MR&C any time I am not using it.
I will only access MR&C from authorized computers within my assigned issuance office(s) while
performing my vital records duties.
I will not disclose private or confidential vital record information except as allowed by the Vital Statistics
Act (Minnesota Statutes, sections 144.211-144.227) and Minnesota Rule 4601.
I understand penalties for unlawful use of data exist under Minnesota Statutes 609.87-609.98 and
Chapter 13 and any person violating these sections of the law may be subject to penalties up to and
including fines and imprisonment.
I understand that if I violate any of these agreements, my access to MR&C may be terminated without
notice.
I understand and agree with the above terms and conditions.
Signature
Date
User role to be assigned if new or reactivated account:
Issuance
Correct/Amend
Correct/Amend (death only)
Administrative
Non-Issuance
Public User
Authorized by
Date
To be retained by the local user administrator for MR&C. If your office does not have a local user administrator, email form to
[email protected] or fax to the Office of Vital Records at 651-201-5750 (no cover sheet please).
3/11/14