A birth certificate is a vital document that is issued by a government to record the date and place of an individual's birth. It also includes the names of the parents, which can be useful for official purposes such as passports and other identification documents. In order to get a birth certificate, you will need to fill out an application form and submit it to your local government office. The application process may vary depending on your location, so it is important to familiarize yourself with the requirements before you start filling out any paperwork. Generally, you will need to provide proof of identity and citizenship, as well as documentary evidence of the birth itself. The process can be quite straightforward if all of your documentation is in order, but if there are any discrepancies or missing
| Question | Answer |
|---|---|
| Form Name | Birth Certificate Application Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | issuance, where do i get birth certificate near me, 00am, bedford birth certificate office |
CITY OF BEDFORD
VITAL STATISTICS
2000 FOREST RIDGE BEDFORD, TX
___ Abstract |
___ Full Record |
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BIRTH |
# REQUESTED
___1_ CERTIFIED COPY X $23.00 = $23.00
_____ EXTRA COPIES OF
SAME RECORD X $23.00 = ______
EXPEDITED SHIPPING = ______
Via Express Mail
TOTAL ENCLOSED = ______
State/Registrar File # ____________________
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Receipt No. |
________________ |
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APPLICATION FOR |
Cash |
________________ |
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CERTIFIED COPIES OF |
Check No. |
________________ |
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BIRTH CERTIFICATE |
Money Order ________________ |
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MC/Visa ____________________ |
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PLEASE PRINT |
Expiration __________________ |
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Control No. _________________ |
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THE FOLLOWING ARE THE ONLY |
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RECOGNIZED QUALIFIED APPLICANTS |
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Please check your relationship to person in #1:
____ Self |
____ Sibling |
____ Parent |
____ Child |
____ Grandparent |
____ Legal Representative |
____ Stepparent |
____ Guardian |
____ Spouse |
____ Military Recruiter |
I ACCEPT THIS CERTIFIED COPY AS IS:
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Full Name |
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First Name |
Middle Name |
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Last Name at Birth |
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On Birth Record |
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Date Of Birth |
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Month |
Date |
Year |
3. Sex |
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City Of Birth |
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City or Town |
County |
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State |
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TEXAS |
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Full Name Of Father |
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5. |
First Name |
Middle Name |
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Last Name |
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Full Maiden Name |
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6. |
First Name |
Middle Name |
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Maiden Name |
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Of Mother |
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8. YOUR NAME: _________________________________________ |
9. Phone# 8:00am – 5:00pm (_____)_________________ |
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10. MAILING ADDRESS: ________________________________________________________________________________ |
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STREET ADDRESS |
CITY |
STATE |
ZIP |
11.YOUR RELATIONSHIP TO PERSON IN ITEM 1: __________________________________________________________
12.PURPOSE FOR OBTAINING THIS RECORD: ____________________________________________________________
WARNING: THE PENALTY FOR KNOWINGLY MAKING A FALSE STATEMENT IN THIS FORM CAN BE
____________________________________ |
____________________________ |
SIGNATURE OF APPLICANT |
DATE |
IDENTIFICATION TYPE ________________________ |
NUMBER _________________________ |
Driver’s License, I.D. Card, etc. |
on Driver’s License, I.D. Card, etc. |
Birth records are confidential for 75 years: therefore, issuance is restricted to qualified applicants. PLEASE ATTACH A PHOTOCOPY OF IDENTIFICATION TO APPLICATION. WE WILL PROCESS NO REQUEST WITHOUT IDENTIFICATION. Administrative rules require that on restricted records, all identifying information (items
Fees are subject to change without notice. (Call
Office Use Only |
Issued by: |