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.

Information about the parents of the person on record

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.

Relationship to the person on record

Address where you would like the birth certificate to be delivered

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