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www.kdheks.gov/vital/download/birth_fillable.pdf

Application for Certified Copy of Kansas Birth Certificate * IF THE CERTIFICATE IS NOT LOCATED, A $15.00 FEE. ... The fee for certified copies of birth certificates is $15.00 for each certified copy. This fee allows a 5-year search of the records, including the year indicated plus two years before and two years after, or you may indicate the ...

www.health.pa.gov/topics/certificates/Pages/Birth-Certificates.aspx

For mail services: You may complete an Application for Birth Certificate (PDF) and mail it to the address listed below. All certificates are mailed using First Class Mail®. If you require expedited shipping, please apply online and select "UPS" as your shipping option. Division of Vital Records ...

www1.nyc.gov/assets/doh/downloads/pdf/vr/birth1.pdf

birth certificate application (please print clearly) 1. last name on birth certificate 2. first name . 4a. if you know the exact date of birth 4b. if you don’t know the exact date of birth . 3. [] female [] male [] x . see below begin search . mm dd yyyy mm dd yyyy . 5. name of hospital or address 6where born . end search . mm dd yyyy ...

msdh.ms.gov/msdhsite/_static/31,1240,109,62.html

Please Print! Remember to sign the application. The certified copy of the birth certificate is available for $17 for the first copy and $6 for each additional copy ordered at the same time. This certified copy will satisfy claims requiring proof of dependency and situations where for family, historical or legal reasons additional information is ...

www.dmv.virginia.gov/webdoc/pdf/dl81.pdf

VIRGINIA BIRTH CERTIFICATE APPLICATION. Purpose: Customers born in Virginia (from 1912 to the present) use this form to request a Virginia birth certificate in person. Instructions: The requester - the person submitting this application - must show an acceptable identification document(s) from the list on the back of this form and

clerk-recorder.buttecounty.net/clerk/pdf/cert_birth.pdf

application for certified copy of birth record Effective July 1, 2003, California Health and Safety Code Section 103526 changed the way certified copies of birth certificates are issued. Certified Copies to establish the identity of a registrant can be issued only to authorized individuals, as indicated below.

www.cdph.ca.gov/CDPH Document Library/ControlledForms/VS111.pdf

APPLICATION FOR CERTIFIED COPY OF BIRTH RECORD . PLEASE READ THE INSTRUCTIONS ON PAGE 2 BEFORE COMPLETING THIS APPLICATION . California law (Health and Safety Code Section 103526), permits only authorized individuals as listed on the application to receive certified copies of birth records.

dshs.texas.gov/vs/reqproc/forms.shtm

VS 2271 – Central Adoption Registry Application and Instructions (Spanish) VS-210 Central Adoption Registry Request for Open Records: VS 145 – Adult Adoptee Application for Non-Certified Copy of Original Birth Certificate: VS 160 – Certificate of Adoption (for attorneys and district clerks) VS 166.531 – Validation Petition

msdh.ms.gov/phs/forms/Form 522E_201701.pdf

information and instructions for birth record application Eligibility: A certified copy of a birth certificate can be issued only to a person with legitimate and tangible interest as defined by the Rules Governing the Registration and Certification of Vital Events.

www.health.ny.gov/forms/doh-4380.pdf

• Complete a separate application for each record requested. • Use this application to mail your request. • Use this application if you are the person named on the birth certificate or if you are that person’s parent. • Use this application if the birth occurred in New York State outside of New York City.