Noncertified Birth Record Application (PDF) 2026

1. Click ‘Get Form’ to open the Noncertified Birth Record Application in the editor.
2. Begin by filling in the child's information, including first name, middle name, last name, date of birth, sex, and place of birth. Ensure accuracy as this information is crucial for locating the record.
3. Next, provide the parents' details. Fill in both parents' first names, middle names, last names, and any previous last names before marriage.
4. In the requester section, enter your name, mailing address (note that UPS does not deliver to PO boxes), daytime phone number, and email address.
5. Select the appropriate options regarding confidentiality and type of record requested. Make sure to mark only one box for each section.
6. Complete the payment section by indicating how many copies you want and how you wish to pay. Remember to check all fees associated with your request.
7. Finally, sign the application in front of a notary public and ensure all required fields are completed before submitting your application.

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