![]() INFORMATION AND INSTRUCTIONS FOR BIRTH RECORD APPLICATIONĬOMPUTER CERTIFICATION: computer certifications are accepted by all state and federal agencies and used for any type of travel.Ī computer certification has two different formats:ġ. (Check or Money Order Payable to Vital Statistics)(Accepting Visa, Mastercard, Discover, or Amex) Notary Services: (Same day service for amendment forms only) (Our website to order online-addl fees apply)ġst Certified Copy: (*Non-refundable fee for Birth Record search)Īdditional Certified Copy: (Same day of purchase on the same person)įax or Mail Rush Orders: (Mail out within 2-3 business days by regular mail)įed/Ex Delivery:(Mail out within 2-3 business days-no PO/APO Boxes-Continental US) SECTION C: COUNTY HEALTH DEPARTMENT FEE INFORMATION SECTION B: APPLICANT (adult requesting certificate) INFORMATIONįIRST, MIDDLE, LAST (INCLUDING ANY SUFFIX) Purposes, commits a felony of the third degree, punishable as provided in Chapter 775, Florida Statutes. Statutes, or on any application or affidavit, or who obtains confidential information from any Vital Record under false or fraudulent ![]() Acceptable forms of identification are the following: Driver’s License, State Identification Card, Passport, and/or Military Identification Card.Īny person who willfully and knowingly provides any false information on a certificate, record or report required by Chapter 382, Florida If applicant is not one of the above, the Affidavit to Release a Birth Certificate must be completed by an authorized person and submitted in addition to this application form. Read the FRONT AND BACK of this application : Requirement for ordering: If applicant is self, parent, guardian, or legal representative, then the applicant must complete this application and provide valid photo identification, if a mail request, a copy of the valid photo identification must be provided. Landlord (Tenant) Recommendation Letterįlorida Department of Health in Pinellas County/Office of Vital StatisticsĨ751 Ulmerton Rd., Ste. ![]()
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