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Birth Certificate Application

Request your official Birth Certificate by Mail from Home

Birth information of the person on record

Please enter the birth information of the individual who needs the birth certificate. If you are applying for someone else (i.e. your child), enter their birth information here.


1.4 Gender*
1.5.a Has the person on record ever changed his/her name through a marriage?
1.6 Has the person on record ever changed his/her name by court order?
2.1 Date of birth*
    Information about the parents of the person on record

    Father unknown or not listed on the birth certificate
    Your name and contact information

    Whether you are seeking to apply for your birth certificate or are submitting an application for another person (i.e. your child or spouse), please enter your name and contact information here.


    Address where you would like the birth certificate to be delivered

    Relationship to the person on record