SimpleGov.us - Replace Birth Certificate

First Name

Last Name

Date of Birth

Place of Birth (City, State)

Mother's Full Maiden Name

Father's Full Name

Email Address

Phone Number

Mailing Address

Reason for Replacement

Number of Copies

Government-Issued Photo ID

Please upload a clear copy of your government-issued photo ID.

Standard processing time for replacement certificates is 7-10 business days. Expedited service is available for an additional fee.

All information provided must match the original birth record exactly to avoid processing delays.

Replace Lost or Damaged Birth Certificate