Birth Records Request Form

Birth Records Request

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Your Phone(Required)

Your Email(Required)

What name should be on the birth record?(Required)

Alternate spellings for the name?

Date of birth. Please provide as much information as you have. If you do not have an exact date, please provide a maximum 5-year range for us to search.(Required)

Where do you think the family was living? What supporting information do you have that may confirm that?(Required)

Names of parents (if available)

Names of known siblings (if available). This can help us confirm family groupings.

Reason for record request?(Required)

General Research (copies will be provided via email unless otherwise requested)

Dual citizenship application (we will provide certified/notarized hard copies)

What religion did the family practice? If we cannot find a record, we will try to point you toward the appropriate church or religious archives.

Are you requesting these documents be mailed to a non-US address or by a method other than domestic first-class mail?(Required)

Yes