Birth Certificates | Death Certificates | Marriage Certificates | Marriage License Applications

Certificate Type*

State Of Birth*

Was the birth in one of the following boroughs?*

The birth did not take place in any of these boroughs*

County Of Birth*

City Of Birth*

Reason For Order*

Please read the statement below and accept before proceeding with your order

I acknowledge that I will be required to upload my valid identification and in some cases proof of relationship to have my order processed by the proper entity.

Fill in the information for your certificate:

Applicant Information (the person filling out this form)

Applicant's First*

Applicant's Middle

Applicant's Last*

Applicant's Suffix

E-Mail*

Phone #*

Applicant's DOB

How are you related to the person named on the Birth Certificate?*

Relationship to Decedent*

Specify*

ID/Relationship Requirements

License/Bar Number

Name of person you are representing & Relationship

Client's Name

Client's Relationship

Purpose

State Driver's License or Identification #

Person Named on the Certificate * Middle name is required to process your application, if you do not have a middle name please type NONE or N/A

First*

Middle

Last*

Suffix

DOB on Certificate*

Sex*

Still Living*

DOD on Certificate*

Place of Birth (hospital)

If you are unsure of the DOB, you may search additional years ($12 fee applies for each year searched).

Would you like to search for additonal years? Yes No

Is the person named on the record adopted? Yes No

Child's Full Name AFTER adoption:

First

Middle

Last

Suffix

Adopted Mother's Birth Name

First

Middle

Last

Suffix

Adopted Father's Birth Name

First

Middle

Last

Suffix

Does the person named on the record currently have a different name than the one that appears on the record? Check that apply.

Marriage

Place of Marriage (state)

Date of Marriage

First

Middle

Last

Court Ordered New Legal Name (court order must be provided)

First

Middle

Last

Suffix

Mother's Information

Mother's First*

Mother's Middle

Mother's Last*

Mother's Suffix

Mother's Maiden Name*

Mother's Birth Place

Mother's DOB

Father's Information No Father present on birth certificate

Father's First*

Father's Middle

Father's Last*

Father's Suffix

Signature

In order to process your application, please click
"Sign Here" and use your mouse to sign. If you are on a touch enabled device, use your finger or stylus to sign.
If you do not sign here, there may be significant delays in processing.

Shipping Information

Address Type:

Street*

Apartment #

State*

Country*

County*

City*

Enter only APO, DPO, or FPO

City*

Zip Code*

Number of Copies:*
WOULD YOU LIKE THIS ORDER EXPEDITED?*	YES NO
Shipping Method:*
Waive Signature for FedEx or UPS Delivery
Referral Code :
Cost for Certified Birth Certificate:
	(state fee)
Additional Copies	(add’l fee)
GoCertificates Processing & Handling Fee (Non-Refundable)	(prc fee)
Shipping	(s&h fee)
Expedited Processing and/or Shipping	(exp’d fee)
State Additional Charges	0.00
*THIS ORDER WILL REQUIRE YOU TO UPLOAD AN ELECTRONIC COPY OF YOUR ID AND IN SOME INSTANCES, PROOF OF RELATIONSHIP IS REQUIRED.

Total Charges:
We accept Visa, MasterCard, Discover and American Express

To change your details click EDIT, once you have completed all edits please click CONTINUE

Info	Details	Edit
State Information		Edit
Applicant Information		Edit
Person Named on the Certificate		Edit
Mother Information		Edit
Father Information		Edit
Shipping Information		Edit

I have verified all the above information and I hereby certify it is true to the best of my knowledge. I also acknowledge that the above address will receive my order after processing *

Refund Policy- The costs for the actual certificates and shipping charges, as well as the processing/delivery times, are quoted by the State and/or County offices. GoCertificates.com, Inc. is not responsible for any delays or changes made by these offices. GoCertificates.com, Inc. will refund the fee if you do not receive your record and the fault is ours. If the reason you do not receive your record is because the State or County can not find a record for you, for any reason, only the unused shipping charges you paid, if any, will be refunded. No refund of GoCertificates.com's Fee will be issued to those who submit an application, yet fail to submit the proper identification verification requirement to complete the application or to those who submit an application and thereafter cancel their order. No refunds of any amounts will be issued by GoCertificates.com, Inc. if you do not receive your record because you have supplied incorrect or false information. The State or County Offices may have their own refund policies.

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