Apply online for Birth Certificate
ABOUT 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
- First Name*
- Middle name
- Last name*
- State/Province/Region of birth*
- City/Town of birth*
- Your parents' full names, including your mother's maiden name.
Now depending on your state, we may also include additional information, such as:
- The birthplaces of your parents.
- Your parents' address (es), occupations, and ethnicities.
- The number of children your parents already have.
- The hospital that you were given birth at and its address.