Sec 19a-41 page 1 (2-11) Birth Certificates 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, entering your surname and usual given name in Boxes 1 and 2. Ensure these match your photo ID.
3. Fill in your home address in Box 3, ensuring it aligns with the proof of address you will submit.
4. In Box 10, if applying for someone else, provide a reason and attach an official document as proof.
5. Proceed to Section 2 to enter details about the person concerned by the application, including their surname and date of birth.
6. In Section 3, specify the number of documents requested and calculate the total fee due in Box 27.
7. Sign and date Section 4 to confirm that all information is accurate before submitting your application.

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