Order a Birth Certificate Online

Name

Email Address

Phone

Time ServiceRegular Time Service State Fee +$45Rush Time Service State Fee +70

Number of Copies

Name at Birth

Name ChangeYesNo

Date of Birth

Social Security Number

City of Birth

State of Birth

Parents Married?YesNo

Father's Name

Mother's Maiden Name

Upload a valid, government-issues photo ID *

No file chosen

Notice:

Your information is securely processed and used only to complete your request.

Payment

After you submit this form, a specialist will contact you to review your request, verify details, and securely complete your order.

Before You Submit:

For your protection, please review and confirm the following before submitting your request:

Consent *

Yes, I agree with the privacy policy, and I understand and consent to the collection and use of my information to process my request.

Authorization

I certify that the information provided is true and correct, and I am authorized to request this birth certificate, and by submitting my request, I affirm such. I understand a representative of the company may contact me regarding my order for additional information, payment information or other necessary requests to process my order.

unitedstatesbirthcertificate.com is a private document assistance service. We are not a government agency. We assist with the preparation and submission of applications to obtain certified birth certificates from official state agencies.