If a record is restricted, only those people listed on the record can get a certified copy. Make checks payable to the . Apply for your Massachusetts Birth Certificates Online & all Vital Records for passport, Visa, Employment, Driver's licence. APPLICATION FOR VITAL RECORD (Please print legibly.) Whose birth certificate are you ordering? Full name of person on the record of birth The Registry of Vital Records (RVRS) preserves Massachusetts vital records for documentation and research. Mine Someone else’s. Next question Name on Birth Certificate First Name Middle Name Last Name on Birth Certificate Sex Male Female Date of Birth (mm/dd/yyyy) Place of Birth City State Hospital if Known _____ Please print out this form and return to: Springfield City Clerk City Hall, Room 123 - 8:30 am to 4:00 pm 36 Court Street Springfield, MA 01103-1683 Requests submitted through the mail, will be processed on the date they are received. New Birth Certificate, Replace Birth Certificate, Copy of Birth Certificate. Massachusetts General Law only allows certain people to get a copy of a restricted birth certificate. W:\CLERK FORMS\Request Website -Birth Certificate.doc Request for Birth Certificate Form City of Lynn . You can request certified copies of Massachusetts vital records. W:\CLERK FORMS\Request Website -Birth Certificate.doc Request for Birth Certificate Form City of Lynn . (non-r efundable) • CERTIFIED COPIES OF DOCUMENTS NO. Commonwealth of Massachusetts… Lynn City Hall . Checks should be made payable to "City of Lowell." BIRTH CERTIFICATE REQUEST FORM Please print out this form and return to: City Clerk’s Office 536 Dwight St. Holyoke MA 01040 Requests submitted through the … Birth Certificate Request Form CITY USE ONLY: REG. Certified birth records are valid for obtaining passports, processing "REAL ID" applications, providing proof of age, United States citizenship, obtaining social security benefits and many other legal purposes. See Section 181.1(13) of the Texas Administrative Code for who qualifies as an immediate family member. The charge for locating, obtaining and shipping a Massachusetts certified birth certificate is $45 [US]. In Person For requests in person at the City Clerk's Office, bring the following information with you: The date of birth application for a certified copy of a birth record must include a photocopy of a government issued photo i.d. APPLICATION FOR A CERTIFIED COPY OF A DELAWARE BIRTH CERTIFICATE PLEASE COMPLETE ALL ITEMS REQUESTED BELOW AS ACCURATELY AS POSSIBLE. may be issued to anyone as long as the birth occurred 30 years prior to th date of application, the cost is $10.00. Transcribed by: Massachusetts Document Retrieval @ https://www.mass-doc.com Definitions of Transcribed Abbreviations: NA = Either Not Asked on Record or Not Applicable Learn more about the law. Please fill out and return this form to the address above, along with a stamped, self-addressed, business-letter-sized envelope, proof of identification for the person making the request and a check or money order for for each record. CERTIFIED COPIES OF A BIRTH CERTIFICATE: Effective January 1, 2020 cost $12.00 each (non-refundable) • INFORMATIONAL COPIES OF A BIRTH CERTIFICATE . name on record: _____ date of birth: _____ Copies of birth certificates for births that occurred within the past 75 years can be requested only by the immediate family of the person whose name is on the birth certificate. Legal guardians can get a copy of of a child’s birth certificate by … Lynn City Hall . The fee is $15 for a certified copy of a birth certificate. The City accepts checks or money orders only by mail, and checks, money orders or cash in person. Quantity discounts apply … $32.00. 3 City Hall Square, Room 201 3 City Hall Square, Room 201 You can request certified copies of birth…