Get Birth Certificate Application - Duval County Health Department

This guide provides clear and detailed instructions for individuals seeking to fill out the Birth Certificate Application from the Duval County Health Department online. Follow these steps to ensure a smooth and efficient application process.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the document and open it in the appropriate application for editing.
2. Begin by entering the child's full name as shown on the birth record. If their name has changed since birth, provide the new name in the designated section.
3. Fill in the date of birth in the specified format. Include the day, month, and year (4-digit). If known, enter the state file number.
4. Indicate the city or town and county where the child was born, as well as the name of the hospital, if applicable.
5. Provide the mother’s maiden name and father’s name as they appear on the birth record.
6. Complete the applicant's information, including their name, mailing address, relationship to the registrant, and contact numbers.
7. Ensure you include any required identification documents and fees according to the instructions in the application.
8. Verify all provided information for accuracy before submission.
9. Finally, users can save the changes, download, print, or share the completed form as needed.

Start filling out your Birth Certificate Application online today!