Get Tn Doh Ph-1654 2019-2026

Filling out the Tennessee Department of Health Application for Certified Copy of a Tennessee Certificate of Birth (PH-1654) online can be a straightforward process if you follow the steps carefully. This guide will assist you in understanding each section of the form and how to successfully complete it.

Follow the steps to complete the TN DoH PH-1654 online

1. Press the ‘Get Form’ button to download and open the TN DoH PH-1654 in your preferred document editor.
2. Fill out the date at the top of the form to indicate when you are submitting your request.
3. Indicate the number of copies you are requesting by writing the quantity in the provided space. Remember to enclose $15.00 for each copy.
4. In the section titled 'Full name on birth certificate,' enter the first, middle, and last names as they appear on the certificate.
5. If applicable, indicate whether the name has ever been changed by selecting 'Yes' or 'No.' If 'Yes,' provide the original name in the space provided.
6. Enter the date of birth using the format: Month, Day, Year.
7. Specify the sex of the individual whose birth certificate you are requesting.
8. Fill in the place of birth, including the city, county, state, and, if applicable, foreign country.
9. Provide the name of the hospital where the birth occurred.
10. Enter the full name of the father and the full maiden name of the mother in the corresponding fields.
11. Note the last name of the mother at the time of birth.
12. If applicable, indicate the next older brother or sister.
13. Add your signature in the designated space, as the request must be signed.
14. Indicate your relationship to the person listed on the birth certificate.
15. State the purpose for requesting a copy of the birth certificate in the appropriate field.
16. Provide your telephone number and email address where you can be reached for further information.
17. Review all sections to ensure all information is accurate and complete. Attach your payment and a valid ID copy, if required.
18. Submit your application by mailing it to the address specified at the bottom of the form. Consider saving a copy for your records.

Complete your TN DoH PH-1654 online application today to obtain your certified copy.