Birth Certificate Application

Purpose of Form


Citizens requesting a Certified Birth Certificate

1. You may print out the form and fill it in by hand or enter text directly into the form and print out.
2. Please be sure to sign the form when finished.
3. Upon completion of the form please mail or hand deliver to the address below, along with a copy of a valid State issued
Drivers License, valid State issued ID, or Military ID of the applicant requesting the Certified Birth Certificate.
4. A notarized statement MUST accompany all “mail in” applications for a birth certificate.

Birth Certificate Form: English & Spanish

Please download and print the form to fill out at your convenience: