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Obtaining a Florida birth certificate is an essential process for many individuals, whether for personal identification, legal matters, or family history research. The application for a Florida birth record, available from 1917 to the present, is managed by the Florida Department of Health in Pinellas County. It requires applicants to provide specific information about the registrant, including the child's full name, date of birth, place of birth, and parental details. Applicants must also complete the necessary sections that confirm their relationship to the registrant and provide valid photo identification. This is crucial for ensuring that only authorized individuals can access sensitive information. The application includes details about fees for certified copies, which are non-refundable, and outlines the process for requesting records under special circumstances, such as adoption or court orders. Additionally, the form clarifies eligibility criteria, indicating who can request a birth certificate and under what conditions. Understanding these components is vital for a smooth application process.

Documents used along the form

When applying for a Florida Birth Certificate, several other forms and documents may be required or helpful in conjunction with the application. Understanding these can streamline the process and ensure that all necessary information is submitted correctly. Below is a list of important documents often used alongside the Florida Birth Certificate form.

  • Affidavit to Release a Birth Certificate: This document is required if the applicant is not the registrant, parent, guardian, or legal representative. It must be completed by an authorized person and submitted with the birth certificate application.
  • Valid Photo Identification: Acceptable forms include a Driver’s License, State Identification Card, Passport, or Military Identification Card. This is necessary to verify the identity of the applicant.
  • Guardianship Papers: If the applicant is a legal guardian, they must provide documentation proving their guardianship status along with the application.
  • Death Certificate: In cases where the registrant is deceased, a death certificate must accompany the application if the applicant is a spouse, child, grandchild, sibling, or legal representative.
  • Court Order: If someone other than the registrant, parent, or guardian is requesting the birth certificate, a court order is required to demonstrate eligibility. This should be a certified copy.
  • Notarized Affidavit: If the applicant is not one of the primary eligible persons, a notarized affidavit must be submitted, along with copies of valid photo identification for both the registrant and the applicant.
  • Application for a Certified Copy: This form is necessary for requesting a certified copy of the birth certificate. It outlines the specific details needed for processing the request.
  • Payment Method Documentation: Applicants must indicate their payment method, whether it be a check, money order, or credit card information, as part of the application process.
  • Additional Information Form: This may be needed to provide further details about name changes or other relevant information concerning the registrant.

Being aware of these additional forms and documents can significantly ease the process of obtaining a Florida Birth Certificate. It is crucial to gather all necessary information before submitting the application to avoid delays. Ensuring that everything is in order will facilitate a smoother experience in obtaining this vital record.

Similar forms

The Florida Birth Certificate form shares similarities with a marriage certificate. Both documents serve as vital records that officially document significant life events. A marriage certificate records the union between two individuals, providing essential details such as the names of the parties, the date of the marriage, and the location where it occurred. Just like a birth certificate, a marriage certificate can be requested by the individuals named in the document, and it often requires valid identification to obtain. Both serve legal purposes, such as establishing identity and eligibility for various rights and benefits.

Another document similar to the Florida Birth Certificate is the death certificate. This vital record confirms the passing of an individual and includes key information such as the deceased's full name, date of birth, date of death, and place of death. Like birth and marriage certificates, death certificates can only be requested by certain eligible individuals, including family members or legal representatives. Both documents also play a crucial role in legal matters, such as settling estates or claiming benefits, and require proper identification for issuance.

A divorce decree is also akin to a birth certificate in that it is an official record of a significant life event. This document outlines the dissolution of a marriage and includes details such as the names of the parties involved, the date of the divorce, and any court orders regarding child custody or property division. Similar to the birth certificate, obtaining a divorce decree typically requires proof of identity and may be restricted to specific individuals, such as the parties to the divorce or their legal representatives. Both documents serve as legal proof of a person's marital status and can be essential for various legal processes.

Finally, a social security card bears resemblance to a birth certificate in that it is a vital document used to establish identity. While a birth certificate is often the primary document used to obtain a social security number, the card itself serves as proof of that number and identity. Both documents are important for accessing government services, employment, and benefits. Additionally, like the birth certificate, obtaining a social security card requires valid identification, and specific procedures must be followed to ensure that the information is accurate and secure.

Obtain Answers on Florida Birth Certificate

  1. What is the process for obtaining a Florida birth certificate?

    To obtain a Florida birth certificate, you must complete the application form provided by the Florida Department of Health. If you are the registrant, a parent, or a legal guardian, you will need to include valid photo identification with your application. If you are applying by mail, a copy of your ID must accompany your request. For those not directly related to the registrant, an Affidavit to Release a Birth Certificate must be filled out by an authorized individual.

  2. Who is eligible to request a birth certificate?

    Eligibility to request a birth certificate is limited to specific individuals. These include the registrant (the individual named on the birth record) if they are 18 or older, parents listed on the record, legal guardians (who must provide guardianship papers), and legal representatives of any of these persons. Additionally, others may obtain a birth certificate through a court order, provided they submit a certified copy of that order.

  3. What forms of identification are acceptable?

    When applying for a birth certificate, acceptable forms of identification include a driver’s license, state identification card, passport, or military identification card. It’s essential to provide a valid ID to verify your identity, especially if you are applying by mail.

  4. What are the fees associated with obtaining a birth certificate?

    The fee for the first certified copy of a birth record is $13.00, and each additional certified copy requested on the same day costs $8.00. There are also additional fees for optional services, such as a protective plastic sleeve for $2.00, rush orders for $5.00, and FedEx delivery for $17.00. Remember that these fees are non-refundable.

  5. Can I obtain a birth certificate for someone else?

    Yes, you can request a birth certificate for someone else, but only if you meet specific eligibility criteria. If you are not a parent, guardian, or legal representative, you will need to submit a notarized Affidavit to Release a Birth Certificate along with the application. This affidavit must be completed by an authorized person who can legally request the record.

  6. What if the birth record is under seal?

    Birth records that are sealed due to adoption, paternity determination, or court order cannot be requested through the standard application process. Instead, you must write to the Bureau of Vital Statistics, specifically to the Records Amendment Section, to obtain these records. This process may require additional documentation.

  7. How long does it take to receive the birth certificate?

    The processing time for a birth certificate can vary. If you request a rush order, the certificate will typically be mailed out within 2-3 business days. Standard requests may take longer, depending on the volume of applications being processed. It is advisable to check the current processing times on the Florida Department of Health's website.

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APPLICATION FOR A FLORIDA BIRTH RECORD

(1917 to present years available)

Florida Department of Health in Pinellas County/Office of Vital Statistics

8751 Ulmerton Rd., Ste. 1700, Largo, FL 33771 (*M-F 8-4:30 pm) (#727-507-4330 x 6316 / Fax #727-507-4335)

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. 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. Acceptable forms of identification are the following: Driver’s License, State Identification Card, Passport, and/or Military Identification Card.

SECTION A: REGISTRANT INFORMATION

CHILD’S FULL NAME AS

FIRST

MIDDLE

 

 

LAST

SUFFIX

SHOWN ON BIRTH

 

 

 

 

 

 

RECORD

 

 

 

 

 

 

IF NAME WAS CHANGED

FIRST

MIDDLE

 

 

LAST

SUFFIX

SINCE BIRTH, INDICATE

 

 

 

 

 

 

NEW NAME

 

 

 

 

 

 

MONTH

DAY

YEAR (4 DIGIT)

 

STATE FILE NUMBER (If known)

SEX

DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOSPITAL

CITY OR TOWN

 

 

COUNTY

 

PLACE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST

MIDDLE

LAST NAME PRIOR TO FIRST MARRIAGE

SUFFIX

MOTHER’S / PARENT’S

 

 

 

 

(If applicable)

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

FIRST

MIDDLE

LAST NAME PRIOR TO FIRST MARRIAGE

SUFFIX

FATHER'S / PARENT’S

 

 

 

 

(If applicable)

 

NAME

 

 

 

 

 

 

IMPORTANT INFORMATION

Any person who willfully and knowingly provides any false information on a certificate, record or report required by Chapter 382, Florida

Statutes, or on any application or affidavit, or who obtains confidential information from any Vital Record under false or fraudulent

purposes, commits a felony of the third degree, punishable as provided in Chapter 775, Florida Statutes.

SECTION B: APPLICANT (adult requesting certificate) INFORMATION

Applicant’s Name

 

FIRST, MIDDLE, LAST (INCLUDING ANY SUFFIX)

 

SIGNATURE OF APPLICANT

TYPE OR PRINT

 

 

 

 

 

 

 

 

 

HOME PHONE NUMBER

MAILING ADDRESS (INCLUDE APT. NO., IF APPLICABLE)

RELATIONSHIP TO REGISTRANT

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALTERNATE PHONE NUMBER

CITY

 

STATE

 

ZIP CODE

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IF ATTORNEY, PROVIDE

LICENSE/ BAR NUMBER

 

NAME OF PERSON REPRESENTED

and THEIR RELATIONSHIP TO REGISTRANT

 

 

 

 

 

 

 

 

BAR/PROFESSIONAL LICENSE NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION C: COUNTY HEALTH DEPARTMENT FEE INFORMATION

 

 

 

 

 

 

 

(Our website http://pinellas.floridahealth.gov/certificates/index.html to order online-addl fees apply)

Cost

Quantity

Total

1st Certified Copy: (*Non-refundable fee for Birth Record search)

$13.00

1

$13.00

Additional Certified Copy: (Same day of purchase on the same person)

$8.00

 

 

Protective Plastic Sleeve:

 

 

 

$2.00

 

 

Fax or Mail Rush Orders: (Mail out within 2-3 business days by regular mail)

$5.00

Optional

 

Fed/Ex Delivery:(Mail out within 2-3 business days-no PO/APO Boxes-Continental US)

$17.00

Optional

 

Notary Services: (Same day service for amendment forms only)

$10.00

Optional

 

(Check or Money Order Payable to Vital Statistics)(Accepting Visa, Mastercard, Discover, or Amex)

TOTAL:

 

Credit Card Holder's Name

CC#

Exp

 

Sec

Date

 

Code

 

CCBilling Address/Zip CC Holder's Signature

DH 1960, 04/2016, Florida Administrative Code Rule 64V-1.0131 (Obsoletes Previous Editions)

Revised 12/1/2021

INFORMATION AND INSTRUCTIONS FOR BIRTH RECORD APPLICATION

COMPUTER CERTIFICATION: computer certifications are accepted by all state and federal agencies and used for any type of travel.

A computer certification has two different formats:

1.A certification of a registered birth (2004 to present), supplies the following facts of birth: Child's Name, Date of Birth, Sex, Time, Weight, Place of Birth (City, County and Location) and Parents' Information.

2.A certification of a registered birth (1930 to 2003), supplies the following facts of birth: Child's Name, Date of Birth, Sex, County of Birth and Parents' Name.

AVAILABILITY: Birth registration was not required by state law until 1917, but there are some records on file dating back to 1865.

ELIGIBILITY: Birth certificates can be issued only to:

1.Registrant (the child named on the record) if of legal age (18)

2.Parent(s) listed on the Birth Record

3.Legal guardian (must provide guardianship papers)

4.Legal representative of one of the above persons

5.Other person(s) by court order (must provide recorded or certified copy of court order)

In the case of a deceased registrant, upon receipt of the death certificate of the decedent, a certification of the birth certificate can be issued to the spouse, child, grandchild, sibling, if of legal age, or to the legal representative of any of these persons as well as to the parent.

Any person of legal age may be issued a certified copy of a birth record (except for those birth records under seal) for a birth event that occurred over 100 years ago.

BIRTH RECORDS UNDER SEAL: Birth records under seal by reason of adoption, paternity determination or court order cannot be ordered in the usual manner. For a record under seal, write to:

BUREAU OF VITAL STATISTICS

ATTN: Records Amendment Section

P.O. BOX 210

Jacksonville, FL 32231-0042

REQUIREMENT FOR ORDERING: If applicant is self, parent, legal guardian or legal representative, the applicant must provide a completed application along with valid photo identification, if a mail request, a copy of the valid photo identification must be provided. If legal guardian, a copy of the appointment orders must be included with the request. If legal representative, the attorney bar number, and a notation of whom the attorney represents and that person's relationship to the registrant must be included with your request. If you are an agent of local, state or federal agency requesting a record, indicate in the space provided for “relationship” the name of the agency. Acceptable forms of identification are the following: Driver’s License, State Identification Card, Passport and/or Military Identification Card.

If not one of the above, you must complete this application and have a notarized Affidavit to Release A Birth Certificate (DH Form 1958, 08/2010) submitted with your application for the birth record along with a copy of the registrant's valid photo identification as well as the applicant's valid photo identification.

RELATIONSHIP TO REGISTRANT: A person ordering his or her own certificate should enter "SELF" in this space. Also, explain if name has been changed; married name, name changed legally (when and where), etc. Others must identify themselves clearly as eligible (see ELIGIBILITY above).

*NONREFUNDABLE: Vital record fees are nonrefundable.An eligibly verification will be completed before charging the nonrefundable search fee for applicants that will need to send additional forms and payment to the State Office in Jacksonville before a certificate can be released to them (Adoptions, Paternity, and Legal Name Changes).

APPLICANT’S SIGNATURE: Is required, as well as his/her printed name, residence address and telephone number.

COUNTY HEALTH DEPARTMENT NAME AND ADDRESS

DH 1960, 04/2016, Florida Administrative Code Rule 64V-1.0131 (Obsoletes Previous Editions)

Revised 12/1/2021

Dos and Don'ts

When filling out the Florida Birth Certificate form, it's essential to follow specific guidelines to ensure a smooth application process. Here are seven important dos and don'ts to keep in mind:

  • Do read both the front and back of the application thoroughly before filling it out.
  • Do provide valid photo identification, especially if you are submitting your application by mail.
  • Do clearly indicate your relationship to the registrant on the application.
  • Do ensure that all names are spelled correctly and match the birth record.
  • Don't leave any required fields blank; incomplete applications may delay processing.
  • Don't provide false information, as this can lead to serious legal consequences.
  • Don't forget to sign the application; an unsigned application will not be processed.