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Birth Records Request Form
Birth Records Request
Your Name
*
First
Last
Your Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Your Phone
*
Your Email
*
What name should be on the birth record?
*
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.
*
Where do you think the family was living? What supporting information do you have that may confirm that?
*
Names of parents (if available)
Names of known siblings (if available). This can help us confirm family groupings.
Reason for record request?
*
General research
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.
