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If you were born in New York City you can apply for a birth certificate online, • Mail application, How do I replace my birth certificate? #11 Bill de Blasio
BIRTH CERTIFICATE APPLICATION (Please Print Clearly) Office of Vital Records 125 Worth Street, CN-4, Room 133 3 WAYS TO ORDER A NEW YORK CITY BIRTH CERTIFICATE
Refer to this step by step process to order a birth certificate: Gather the necessary identifying information (See list below) Complete the application online, by
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DATE OF BIRTH; 2. CHILD’S FIRST NAME. 6. TIME OF BIRTH: 3. CHILD’S MIDDLE nurse) and supported by (affidavit, physician’s certificate, certificate from local

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… New Jersey New Mexico New York North Birth Certificate Application (PDF) • Stillbirth Certificate Application (PDF) • Death Certificate Application (PDF)
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APPLICATION FOR BIRTH CERTIFICATE the new last name as noted on the change of Write your complete address and telephone number clearly on your application.
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NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section Application to Local Registrar for Copy of Birth Record CERTIFICATE INFORMATION First Middle Last
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AppliCAtioN For Copy oF Birth reCord New York State Birth Certificate Request Form Place of Birth Birth Certificate # If Known:


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Birth Certificate Correction Application Form Reference No. to the New York City Health Code. signed application with a copy of photo One photocopy of each
For additional information on correcting and ordering birth certificates, of the five boroughs of New York New Jersey; New Mexico; New York; New York City;
– Application for a certificate or copy of an act with Our PDF forms can be printed and the Application for a Certificate or Copy of an Act of Birth (PDF,
Garbage Hauler’s Application (PDF) You need to send a letter requesting a copy of your birth certificate. Norwich, New York 13815. Who can get a copy of a

VOLUME 1 ISSUE 2 BIRTH CERTIFICATES

State of New York apostille service. Birth certificate Marriage certificate Divorce decree or judgment Death certificate Certificate of incorporation,
Use the online form to order official birth certificates. How to get a New York Birth Certificate online New York Birth Certificate Order WEST NEW YORK NJ
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New York State Department of Health Vital Records Section Application to Local Registrar for Copy of Birth Record Name: (as listed on birth certificate) Date of Birth:

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SEE IDENTIFICATION REQUIREMENTS ON REVERSE APPLICATION



Apostille/Certificate of Authentication Request Attach this form to your documents. Please print or type. New York State Department of State Division of Corporations
the city of new york department of health and mental hygiene office of vital records 125 worth street, cn 4, room 133 new york, n.y. 10013-4090 sign / print your name
VOLUME 1 ISSUE 2 1 and death records to identity when new government identification documents are created and issued. the Birth Certificate document
NEW YORK STATE DEPARTMENT OF HEALTH Vital Records Section Application to Local Registrar For Copy of Birth Record CERTIFICATE INFORMATION First Middle

How do you Apply for a Birth Certificate in New York City?


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CITY OF PORTSMOUTH, NEW HAMPSHIRE BIRTH CERTIFICATE APPLICATION . INSTRUCTIONS: Print the application to complete. 1. Please make sure all information is complete
Get your U.S. Birth Certificate in record time while avoiding New Birth Certificate. To submit a birth certificate application you will only need to provide
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NEW YORK STATE DEPARTMENT OF HEALTH Application to Local (as listed on birth certificate) Date of Birth: First . (Photocopy ID and attach to application form)
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