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APPLICATION FOR SEARCH AND CERTIFIED COPY OF BIRTH RECORD ... 2026

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  1. Click ‘Get Form’ to open the APPLICATION FOR SEARCH AND CERTIFIED COPY OF BIRTH RECORD in the editor.
  2. Begin by filling in your Full Name at Birth. If applicable, indicate if this birth could be recorded under another name.
  3. Provide details about adoption status. If adopted, include the name after adoption.
  4. Enter the Place of Birth, including City and County, along with the Name of Hospital.
  5. Fill in the Date of Birth (Month, Day, Year) and indicate if the person is deceased by checking YES, NO, or UNKNOWN.
  6. Complete parent information by entering Full Name of Parent 1 and Parent 2 (including Maiden Name).
  7. Specify the Purpose for which the record is to be used and your Relationship to the individual named on the certificate.
  8. Indicate how many certificates you are requesting and whether they are Standard Size or Long Form.
  9. Select your Delivery Preference and total fee. Ensure that your Mailing Address matches your identification.
  10. Sign and print your name as Applicant, provide a Daytime Telephone Number, and Today's Date before submitting.

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