Follow the steps to successfully complete your form.

1. Click ‘Get Form’ button to acquire the form and access it in the editor.
2. Begin by clearly printing the full name of the individual on the birth record in the designated fields for first, middle, and last names.
3. Enter the date of birth by selecting the month, day, and year accurately in the provided sections.
4. Indicate the place of birth by filling out the city, county, and hospital name where the birth occurred.
5. Provide the father's full name, including first, middle, and last names, along with their date of birth and state.
6. Fill in the mother’s full maiden name along with her date of birth and state.
7. Specify the number of copies you would like to order at $20.00 each, and remember to add the $4.00 handling fee if applicable.
8. If paying by credit card, select Visa or MasterCard, and complete the expiration date and card number fields.
9. Identify your mailing address clearly, ensuring it matches where the certificates will be sent. Check the appropriate option indicating whether you will pick up the certificate or prefer it mailed.
10. Lastly, provide your phone number and email address for any follow-up communications.
11. Once completed, save your changes, download the form, print, or share it as needed.

Complete your document online today!