Replacement Birth Certificate Application

Vital Records Assistant Services - Application & Check Mailing

Skip the line and let us mail your birth certificate application form and payment.

Basic Information

What state were you born in?

FL TX NM AZ AK CA NV UT CO OR WA ID HI OK MT WY ND SD NE KS MN IA MO AR LA MS AL GA SC IL WI MI IN OH TN KY NC WV VA PA NY ME NH RI CT NJ DE MD MA DC VT NH RI CT NJ DE MD MA DC

Complete your order from home in 3 easy steps

STEP 1

Complete The Application

Enter your information into the secure HIPAA compliant form above to begin filling our your birth certificate replacement application online.

STEP 2

Wait For Your Documents

After signing the birth certificate replacement application and paying. Your application will be mailed to the appropriate health department.

STEP 3

Receive Your Birth Certificate

Once your application has been processed your birth certificate will be mailed to you directly from your health department office.

Your application information is safe and secure due to our HIPAA compliant, encrypted software. When you submit your application and payment through our website, the application and check are mailed to the appropriate government office. Once processed your government document is mailed directly to you. We do not handle your government documents directly.