Colorado Birth Certificate Request - Mesa County Public Health 2026

1. Click ‘Get Form’ to open the Colorado Birth Certificate Request in the editor.
2. Begin by filling out the 'Requestor Information' section. Clearly print your first, middle, and last name, along with your mailing address, city, state, zip code, and daytime phone number.
3. Next, provide the 'Registrant(s) Information'. For each registrant, enter their full name at birth, date of birth, county of birth, gender, and parents' names. Specify how many copies you are requesting for each registrant.
4. If applicable, indicate if any registrants are deceased by checking 'YES' or 'NO', and provide additional details such as date of death and state where it occurred.
5. Attach a copy of your state-issued driver's license or identification card as required. Finally, sign and date the form before submission.

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