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Get Pa H105.102 2018
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How to fill out the PA H105.102 online
The PA H105.102 form is an application for a birth certificate in Pennsylvania. This guide provides clear instructions on how to complete the form online, ensuring you have all the necessary information at your fingertips.
Follow the steps to successfully fill out the PA H105.102 form online:
- Click the ‘Get Form’ button to access the application for the birth certificate and open it in your browser.
- Begin with Part 1: Applicant. Fill in your current legal name, including first, middle, last, and suffix. Provide your street address, city, state, zip code, and daytime phone number. If you are 18 years or older or an emancipated minor, you are eligible to apply.
- Indicate your relationship to the person named on the birth record and specify the intended use of the birth certificate, such as for social security, travel, school, or other purposes.
- Proceed to Part 2: Birth certificate being requested. Complete as much information as possible regarding the individual's birth details, including their full name at birth, date of birth, sex, and place of birth.
- In the Parent/Mother's Name and Parent/Father's Name sections, provide all requested details, such as first name, middle name, last name prior to marriage, current last name, and any suffix.
- In Part 3: Acceptable forms of identification, indicate the identification you are providing. If you have a valid government-issued photo ID, include a photocopy, ensuring it matches the mailing address. If you lack such ID, provide two current documents verifying your name and address.
- Complete Part 4: Fee. Specify the quantity of certificates you require and calculate the total cost. A fee waiver is available for military members and their families; provide the necessary details if applicable.
- Finally, in Part 5: Signature of applicant, sign and date the form to affirm the information provided is accurate. Ensure your signature matches the name in Part 1.
- Once the form is completed, review it for any errors before saving your changes. You can download, print, or share the form as needed.
Complete your PA H105.102 application online today to obtain your birth certificate.
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To obtain a long form birth certificate from Pennsylvania, you must submit a request to the Pennsylvania Department of Health. This often requires filling out the PA H105.102 form for identification purposes. Ensure all necessary information and payment are included to receive your official long form birth certificate without delays.
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