Birth Certificate Application

Birth information of the person on record

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.

First Name

Middle Name

Last Name

State of birth

Email address

Relationship

Date of Birth

Authorize

By checking this box, I agree to submit the information provided to this website, and I authorize Vital Records Online to use my information to fill all necessary documents in order to prepare my application materials. I understand that VitalRecordsOnline.com is a private document preparation service and that I am hiring them to prepare my birth certificate application materials. I understand there is a service fee charged by VitalRecordsOnline.com and I will pay the health department required fee directly by check or money order. I understand I may have to provide additional documents or notarized documents to the health department in order to prove my identity. I understand that I may receive newsletters from Vital Records Online. By submitting the form above, I agree to these terms and the terms of this website.

Sign up for an account

Sign in to your account

Reset Password

Birth information of the person on record

FAQs