Vital Records

Birth Certificate Request Form

Filling out this form will allow you to generate a birth certificate request form on screen, which you can then print, sign and mail to Vital Records along with the appropriate fee. You may only request a birth certificate for births in Georgia.

Step One:

Please answer these questions about the person for whom you are requesting a birth certificate. This information will be used by the Vital Records department to search for the birth certificate.

Information about person named on certificate

Name, Gender and Race:
 
First name
Middle name
Last name (maiden if female)
Gender
Race (optional)
 
Birth Date and Place:
 
 Month of birth
 Day of birth
Year of birth (ex: 1987), 1919--Present only (see FAQ)
 County of birth (Georgia only)
 
Parental Information:
 
Mother's first name
Mother's middle name
Mother's maiden name
Mother's last name (if different from maiden name)
Father's first name
Father's middle name
Father's last name
 
Relationship:
 
 Your relationship to person named on certificate.
Note: Georgia Law Chapter 31-10-26 provides that certified copies of birth certificates be issued only to the registrant (the person whose birth certificate is being requested), the parents or guardians or legal representatives.

Step two:

Number of Copies

Please select the number of copies of the certificate you will be selecting.

Copies are $15.00; there is a fee of $5.00 for each additional copy.

Number of Copies
 
 Number of full-size birth certificates desired.

The above fees have been established in accordance with Chapter 31-10 of the Official Code of Georgia.

Step Three:

Requestor mailing information

Please fill out these fields. This information will be used to determine the mailing address for the certificate.

Your Mailing Address
 
Your first name
Your last name
Your street address, line one
Your street address, line two (if needed)
City
State (2-letter abbreviation)
Zip Code (plus-4, if known)

Step Four:

Instructions for submitting form

Pursuant to O.C.G.A. Chapter 31-10; Section 31: Any person who willfully or knowingly supplies false information on this form to be used for any purpose of deception with intent to defraud; willfully uses or attempts to use any certificate of birth or copy of any record of birth knowing that such certificate was issued upon a record which was false or which relates to the birth of another person may be fined not more than $10,000 or imprisoned for not more than five (5) years, or both upon conviction.

Before you press the "Generate Form" button below, you need to double-check all of the information you filled out above.

After you press the "Generate Form" button below, you need to:

  • Verify that the data on the form is correct,
  • Print the form, and
  • Sign the form
  • Include a photocopy of your valid ID
  • Enclose certified check or money order made payable to Vital Records Services and send to:

    Vital Records
    2600 Skyland Drive, NE
    Atlanta, GA 30319

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