SimpleGov.us - Request 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

Purpose of Request

Number of Copies

Standard processing time is 5-7 business days. Rush service is available for an additional fee.

Please note that all information provided must match the birth record exactly to avoid delays.

Request Birth Certificate