Apply online for Birth Certificate



If you are applying for a Birth certificate within the United States, please complete the form for Birth certificate

General Information for Birth Certificate

  1. First Name*
  2. Middle name
  3. Last name*
  4. State/Province/Region of birth*
  5. City/Town of birth*
  6. Sex*
  7. Your parents' full names, including your mother's maiden name.
Now depending on your state, we may also include additional information, such as:
  1. The birthplaces of your parents.
  2. Your parents' address (es), occupations, and ethnicities.
  3. The number of children your parents already have.
  4. The hospital that you were given birth at and its address.
If you are applying for a Non US Birth certificate please contact our email support at ( for more information regarding the country’s birth certificate you are applying for.