1. Birth Certificate Holder Details
For this birth state, the state authority requires that the credit card address must match your shipping address. It will not be processed without this requirement.
Enter the name of the birth certificate holder as it appears on the certificate…
NOTE: To prevent delay, be sure the date entered is: a) Not today’s date; b) If it is your own certificate you are requesting, use your D.O.B.; or
c) If it is for someone else, use that person’s D.O.B.
2. Parent Information
Mother’s Maiden name (and Father, if known)
3. Contact Information
IMPORTANT NOTE: No PO Boxes. You must list a physical street address below (Also, no APO’s or FPO’s). It must be delivered to where someone can sign for the certificate.
ALSO: The state requires that the credit card address must match your physical address. No exceptions.
4. Requester's Verification
That’s you, the person making request.
5. Costs and Order Options
Additional Birth Certificates?
Emergency Processing: (Regular expedite fee of $59, plus this optional fee of $25.00 for a total of $84
for the expediting fee). Emergency processing will not change the State’s processing time. It puts your
job in front of
regular jobs that came in before it, saving potentially one business day on the total time.
6. Payment Info
7. Verification of info submitted
To help avoid unnecessary delays, please check each item after confirming it to be the case: