Get Form H105 102

Filling out the Form H105 102 is an important step in obtaining a certified copy of a birth record. This guide will walk you through the process, ensuring that you complete each section accurately and efficiently.

Follow the steps to successfully complete the Form H105 102.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. In Part 1, sign your name to affirm that you are the individual you claim to be and that all information provided is complete and accurate. Ensure your signature matches the name listed in Parts 2 and 5.
3. Complete Part 2 by printing or typing your full name and current mailing address. Specify your relationship to the person named on the record and provide a daytime phone number and email address if required.
4. In Part 3, provide information about the individual named on the requested record. This includes the number of copies needed, name at birth, any name change details, date of birth, sex, and place of birth.
5. For Part 4, if there is a fee for the copies requested, prepare a check or money order made payable to 'Vital Records'. If you qualify for a fee waiver due to military service, fill out the necessary details regarding the armed forces member.
6. In Part 5, include a legible copy of a valid government-issued photo ID that matches your name and address provided in Part 2. Consider enlarging the copy by at least 150% for clarity.
7. Review all sections to ensure completeness and accuracy. Confirm that you have signed Part 1, filled in Part 2, completed Part 3, and enclosed payment or fee waiver details as needed.
8. Mail the completed form and accompanying documents to the Division of Vital Records at the specified address. Ensure that you include your name and address as listed in Part 2.
9. Finally, you can save your changes, download, print, or share the form as needed.

Complete your Form H105 102 online today to obtain your certified birth record.