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REQUEST A CERTIFIED COPY ONLINE

Please review our vital record holdings before submitting your request.


Don't have the certificate number? Use this form.
* Required fields
*Certificate Number:
Gender:
*Last Name:
First Name:
Date of Birth
     Month:
     Day:
     *Year: 
Place of birth:
*City/Borough: Manhattan (New York County)
  Brooklyn (Kings County)
  The Bronx (Bronx County)
  Queens (Queens County)
  Staten Island (Richmond County)
Father's name:
Mother's name:
Your relationship to the person named above:
Purpose for which this record will be used:
Additional Comments:
Attach "Letter of Exemplification":
*Number of copies requested:
Credit Cards charged upon order. Credit will be issued for unfulfilled orders. Allow 4-6 weeks for delivery.
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Total Price: $0