State - Form - 49607 Application Birth CertificatePDF 2026

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  1. Click ‘Get Form’ to open the State - Form - 49607 Application Birth CertificatePDF in the editor.
  2. Begin by entering your Full Name at Birth in the designated field. If applicable, indicate if this birth could be recorded under another name.
  3. Provide details about the Place of Birth, including City and County, as well as the Name of Hospital where the birth occurred.
  4. Fill in your Date of Birth using the format Month, Day, Year. Indicate if the individual is deceased by checking YES, NO, or UNKNOWN.
  5. Complete the sections for Parent 1 and Parent 2 names. If adopted, include names of adopted parents.
  6. Specify the Purpose for which the record is needed and your Relationship to the individual named on the certificate.
  7. Indicate how many certificates you are requesting and select your Delivery Preference (Regular Mail or Express Courier).
  8. Finally, print your name, sign as the applicant, and provide your Mailing Address and Daytime Telephone Number. Ensure that this address matches your identification.

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How to fill out the Official Birth Certificate Template Download? Begin by entering the childs full name. Fill in the birth date and time accurately. Provide the names of both parents. Sign the document where indicated. Review the information for accuracy.
Birth certificates can be requested online, by telephone, by mail, or in-person. When mailing in this application, include a copy of your photo ID with your payment to the Arkansas Department of Health and mail to the address listed in the payment section below. Please allow 7-14 days for processing by mail.
Check with your birth states vital records office for what it requires. Most states have another way to verify your identification, such as: Your sworn statement of identity. A docHubd letter and a copy of the photo ID from the mother or father listed on your birth certificate.