To The Department of State-Passport Vital Records
Section I. I, (name of birth certificate holder):
__________________________________________ give permission for my parent(Name of parent requesting):
__________________________________________to request and receive my birth certificate for me since I have no current valid ID to do it for myself.
Certificate holder signature: _____________________________________________________
Date: ______/________/20________Notary signature: _____________________________ Date: _____________
My commission expires on: ____/_____/ 20___
For over 23 years, by using our expedited service, we've been able to save our customers time by avoiding a trip to a Vital Records office. Additionally, we've aided in preventing untold application rejections.
We are a private company not affiliated with, owned or operated by any government agency. Furthermore, you might say we provide self-help service at your direction. But, if you're looking to get blank forms, you can get them for free at your state health department office. By using our service, however, you get an expert review to avoid any application mistakes, rejections or unnecessary delays in your vital record applications.