CA Application for Certified Copy of Birth Record - County of San Bernardino 2017 free printable template

Public Health Vital Statistics APPLICATION FOR CERTIFIED COPY OF BIRTH RECORD NOTICE: Orders received by mail must have an attached notarized sworn statement. (See instructions). The California Health

How to fill out CA Application for Certified Copy of Birth Record

How to fill out CA Application for Certified Copy of Birth Record

1. Download the California Application for Certified Copy of Birth Record from the California Department of Public Health website.
2. Complete the application by providing required personal information, including the name of the person on the birth record, date of birth, place of birth, and the parents' names.
3. Indicate the relationship to the person named on the birth record and provide proof of your relationship if necessary.
4. Select the type of copy you are requesting (long-form or short-form).
5. Include a valid government-issued photo ID or other acceptable identification.
6. Prepare your payment using a check or money order made out to the California Department of Public Health.
7. Mail the completed application, identification, and payment to the appropriate address as stated on the form.

Who needs CA Application for Certified Copy of Birth Record?

1. Individuals seeking to obtain an official copy of their own birth certificate.
2. Parents requesting a certified copy of their child's birth record.
3. Legal guardians or relatives who may require the birth record for legal or personal reasons.
4. Individuals who need the birth record for identity verification, application processes, or other official purposes.

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What is CA Application for Certified Copy of Birth Record?

The CA Application for Certified Copy of Birth Record is a form used to request an official certified copy of a birth certificate from the California Department of Public Health. This document is typically needed for legal purposes, identification, and personal records.

Who is required to file CA Application for Certified Copy of Birth Record?

Individuals who are the subject of the birth record, their parents, legal guardians, or authorized representatives are required to file the CA Application for Certified Copy of Birth Record. In some cases, other individuals may also be permitted to request a copy under specific conditions.

How to fill out CA Application for Certified Copy of Birth Record?

To fill out the CA Application for Certified Copy of Birth Record, you need to provide personal information such as the name of the person on the birth record, date and place of birth, and relationship to the applicant. You also need to complete the required signature and payment information as outlined on the form.

What is the purpose of CA Application for Certified Copy of Birth Record?

The purpose of the CA Application for Certified Copy of Birth Record is to obtain an official copy of a birth certificate which can be used for various legal and personal purposes such as obtaining a driver's license, passport, or for proof of identity and age.

What information must be reported on CA Application for Certified Copy of Birth Record?

The information that must be reported on the CA Application for Certified Copy of Birth Record includes the full name of the individual on the birth record, date of birth, place of birth, parents' names, and the applicant's relationship to the individual, as well as contact information and payment details.