Get Pa H105.102 2007
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How to fill out the PA H105.102 online
The PA H105.102 form is essential for individuals seeking a certified copy of their birth record in Pennsylvania. This guide provides clear, step-by-step instructions for filling out the form online, ensuring that users understand each component and can complete the process easily.
Follow the steps to fill out the PA H105.102 online easily and accurately.
- Click the ‘Get Form’ button to access the form and open it in your editor.
- In Part 1, confirm your identity by signing your name. Your signature should match the name provided in Parts 2 and 5. Ensure that you are at least 18 years old to apply; if you are under 18, a family member must submit the request.
- In Part 2, enter your name and current mailing address clearly. Also, indicate your relationship to the person whose record you are requesting.
- Enter your daytime phone number and email address to facilitate communication regarding your request.
- State the intended use of the certified copy in the space provided, selecting from options such as travel, social security, or employment.
- In Part 3, provide details about the individual named on the record. Include the number of copies requested, their name at birth, and any name changes since birth.
- Indicate the sex of the individual and provide their date and place of birth, including the name of the hospital.
- List the full names of the individual’s parents, and ensure all fields are completed accurately.
- In Part 4, note the payment information, including the cost per copy and the possibility of fee waivers for military members. Ensure that the payment method is suitable.
- Part 5 requires you to attach a valid government-issued photo ID that verifies your identity and address, as stated in Part 2.
- Verify that you have signed Part 1, listed your name and address in Parts 2 and 5, and completed all items in Part 3.
- Finally, mail the completed form, along with necessary payments, ID, and a self-addressed, stamped envelope to the Division of Vital Records at the designated address.
Take action now by completing your PA H105.102 form online to ensure you receive your certified birth record promptly.
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To get a copy of a birth certificate in Pennsylvania, you should submit a request to the Pennsylvania Department of Health. You can do this online, by mail, or in person at a designated office. To simplify the process, US Legal Forms offers templates and support to ensure your application meets the PA H105.102 guidelines, making your experience smoother.
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