Birth information of the person on record
Please enter the birth information of the individual who needs the birth certificate. If youare applying for someone
else (i.e. your child), enter their birth information here.
1.1 First Name at birth
1.2 Middle Name at birth
1.3Last Name at birth
Suffix
Jr
Sr
I
II
IV
1.4Gender
2.1 Date of Birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
2.2 State of Birth
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
District of Columbia
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLIONOIS
INDIANA
IOWA
Kansas
KENTUCKY
LOUISSANA
MAINE
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
2.3 Country of Birth
Country
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
2.4 City of Birth
Information about the parents of the person on record
Mother's first name
Mother's middle name
Mother's last name before any marriage (maiden name)
Mother's last name after marriage if different
Father's first name
Father's middle name
Father's last name
Suffix
Jr
Sr
I
II
IV
Your name and contact information
Whether you are seeking to apply for your birth certificate or are submitting an application for another person (i.e.
your child or spouse), please enter your name and contact information here.
First Name
Middle Name
Last Name
Suffix
Jr
Sr
I
II
IV
Contact Number
Email
Relationship to the person on record
What is your relationship with the
person listed on record?
Myself
I am the son
I am the Daughter
I am the Father
I am the mother
I am the Spouse
I am the Brother
I am the Sister
I am the Grand Child
I am the Maternal grand parent
I am the Paternal grand parent
I am the Paternal Legal Guardian
I am the Legal Representative
Others(Specify)
Why are you applying for birth certificate?
Passport
Social Security
Retirement
Employment
Working Papers
School Entrance
Driver's License
Marriage License
Veterans Benefits
Court Proceeding
Entrance into Armed Forces
International Use
Insurance
Genealogy
Others(Specify)
Number of Certified Copies needed
1
2
3
4
Address where you would like the birth certificate to be delivered
Street
Apt, suite, floor, etc.
City
State
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
District of Columbia
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLIONOIS
INDIANA
IOWA
Kansas
KENTUCKY
LOUISSANA
MAINE
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Zip Code
Submit Application
What is Birth Certificate Replacement?
Birth certificates are required everywhere as they are legal documents proving your citizenship. In case anything
happens to your Birth Certificate you need to get a new one online and get it certified by your respective State as soon
as possible.
Why should you get a replacement birth certificate?
You may need to file a birth certificate replacement online if you're planning to get a driver's license or other
government-issued identification documents like passports, state photo ID, etc. The list doesn't end here, even if you
have to avail of social security benefits, one of the first documents needed is your birth certificate.
How should you get your birth certificate replaced?
To get your birth certificate replacement , you can approach the vital records or local country office offline. Although
this might be a time-consuming process and is also not hassle-free. Therefore the best way is to fill out an online
application. It is quick, effortless, and can be done within the comforts of your own home. To do the same, you will be
asked to prove your identity. There is an online application form available which can be used to prove your identity.
What information does the form require you to fill out?
A birth certificate form requires you to fill out detailed information about yourself or the person whose birth
certificate has to be replaced.
The form has the below-mentioned columns -
Gender
Full name
Date of birth
Location of birth
Parental information
Relationship to the certificate bearer (the person whose name appears on the certified copy of the birth certificate you
are requesting)
Shipping address (where you would like the birth certificate delivered, once it has been issued by the vital records
office)
Payment information (credit or debit card details to cover the fees)
What Documents are required for a Replacement Birth Certificate?
Now that you can get your birth certificate replaced online, all you need is to complete the form provided by the state
where your birth took place. After this, you will have to submit a list of documents to Get a Replacement for a Birth
Certificate . These usually consist of IDs to prove your identity like your Social Security card, Driver’s license, and
Passport. In case you are applying for the replacement of someone else’s birth certificate, the agencies will ask you to
prove your relationship to them.
After filling out the birth certificate replacement fees you can get your birth certificate replaced instantly. The
charges are different for every state.
Obtain Your Birth Certificate Replacement
Getting your birth certificate replaced is now simple and hassle-free. Avail of our services today and save time to get
a replacement birth certificate instantaneously!