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msdh.ms.gov/msdhsite/_static/31,1240,109,62.html

To apply for a copy of your birth certificate, please print the following application form: Application for Certified Copy of Birth Certificate PDF. Payment information  ...

www.ok.gov/health2/documents/VR_BCRequest_interactive.pdf

Full Name AT BIRTH: (IF THE BIRTH NAME WAS LEGALLY CHANGED, ... Purpose for which the birth certificate is needed: ... 4) Applicant must sign this form.

www.health.pa.gov/MyRecords/Certificates/BirthCertificates/Documents/Birth_Certificate_Application%20(Web)%20Rev%205-2015.pdf

Application for Certified Copy of Birth Record. BIRTH. Pennsylvania Department of Health ♢ Division of Vital Records. BIRTH. PART 1: By my signature below, ...

www.health.state.mn.us/divs/chs/osr/bcappia.pdf

REV 03/2015. Birth Certificate Application. The information requested on this application is required by Minnesota Statutes, section 144.225, subdivision 7 and  ...

www.cookcountyclerk.com/vitalrecords/documentlibrary/birth%20request%20form%20(english).pdf

To obtain a copy of a birth record from the Cook County Clerk's Office, please read the ... certificate and/or certification for the purposes of deception is guilty of a ...

www.health.ny.gov/forms/doh-4380.pdf

Use this application only if you are the person named on the birth certificate or ... application if the birth occurred in any of the five (5) boroughs of New York City.

vitalrecords.nc.gov/documents/Appl_BirthCert_GN_fill-in_20161101.pdf

Nov 1, 2016 ... Application for a Copy of a North Carolina Birth Certificate. Certificate Information. Full Name on Certificate. (If adopted, provide new information) ...

www.dhs.wisconsin.gov/forms/f0/f05291.pdf

WISCONSIN BIRTH CERTIFICATE APPLICATION. (for Mail or In-Person Requests). PENALTIES: Any person who illegally possesses any vital record with  ...

www1.nyc.gov/assets/doh/downloads/pdf/vr/birth1.pdf

YES. NO. 13. HOW ARE YOU RELATED TO THE PERSON ON THIS BIRTH CERTIFICATE? ... Mail your application to 125 Worth Street, CN-4, New York,.

dhss.alaska.gov/dph/VitalStats/Documents/birth/birth_form.pdf

Alaska Birth Certificate Request Form Instructions. Who may obtain a birth certificate? • Parent(s) listed on the certificate. • Child listed on the certificate (if 18  ...