Get Do Not Complete This Application Before Reading The Instructions ...

Completing the application for a certified copy of a birth record can be a straightforward process if you follow the instructions carefully. This guide will walk you through each step necessary to ensure your application is filled out correctly when completed online.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Provide your applicant information. Make sure to print or type your details clearly. Fill in today's date and, if applicable, your agency name and purpose of request.
3. Indicate the number of copies you are requesting. Ensure the mailing address is correctly provided, and include a phone number where you can be reached.
4. Complete the birth certificate information section by entering the full name of the registrant as it appears on the certificate, along with the city and county of birth.
5. Specify the date of birth using the MM/DD/YYYY format. If the exact date is unknown, provide an approximate date.
6. If applicable, fill out the parental information section for both the mother and father/parent as listed on the certificate.
7. Select the type of certified copy you wish to receive. Be aware that for a certified copy establishing identity, a sworn statement must be completed and notarized.
8. To finalize, sign the sworn statement if you are eligible for a certified copy. Ensure to do this in the presence of a notary public if submitting by mail.
9. Prepare your payment. Submit $25.00 for each copy requested and include this payment with your application.
10. Send the completed application along with your payment to the Modoc County Recorders Office at the specified address using U.S. Postal Service.

Complete your documents online today to secure your certified copy of a birth record.