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.
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.
PLEASE NOTE: The address on your driver’s license (or the photo ID that you include in your application) MUST match this delivery address.
We have detected the last name of the person on record at birth does not match the parents information you have entered. Please make sure that the information for the person on record is correct, otherwise the Health department may not accept your application.
If you have any difficulties, please contact us:
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