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Public Health Vital StatisticsAPPLICATION FOR CERTIFIED COPY OF BIRTH RECORD NOTICE: Orders received by mail must have an attached notarized sworn statement. (See instructions×. The California Health
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How to fill out CA Application for Certified Copy of Birth Record

01
Obtain the CA Application for Certified Copy of Birth Record form from the California Department of Public Health website or a local government office.
02
Fill out the applicant's information, including full name, date of birth, place of birth, and the relationship to the person whose birth record is being requested.
03
Specify the purpose of the request for the certified copy of the birth record.
04
Provide a valid form of identification, such as a driver's license or passport, along with the application.
05
Include payment for the processing fee, either by check or credit card, as specified on the form.
06
Sign and date the application.
07
Submit the completed application by mail or in person at the designated office.

Who needs CA Application for Certified Copy of Birth Record?

01
Individuals seeking a certified copy of their own birth record.
02
Parents or legal guardians requesting a birth record for their child.
03
Legal representatives or individuals with a documented need, such as for legal proceedings or identity verification.
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The CA Application for Certified Copy of Birth Record is a document used to request an official copy of an individual's birth certificate from the state of California.
Individuals who need a certified copy of their own birth certificate, or parents/guardians requesting for their child's birth certificate, are required to file this application.
To fill out the application, provide the individual's full name at birth, date of birth, place of birth, parents' names, and any required identification information.
The purpose of this application is to obtain a legal document that serves as proof of identity, age, and citizenship.
The application must report the individual's full name, date and place of birth, parents' full names, and the applicant's relationship to the person listed on the birth record.
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