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APPLICATION FOR FLORIDA BIRTH RECORD Palm Beach County Health Department Office of Vital Statistics 800 Clematis Street West Palm Beach, FL 33401 Hours of Operation: Monday Friday 8:00 AM 4:30 PM
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How to fill out state of florida birth certificate template form

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How to fill out Florida birth certificate application:

01
Begin by obtaining a copy of the Florida birth certificate application form. This form can typically be found online on the website of the Florida Department of Health.
02
Fill out the applicant's information accurately and legibly. This includes the full name, date of birth, and place of birth of the individual whose birth certificate is being requested.
03
Provide the applicant's gender, whether they are a male or female.
04
Enter the applicant's race or ethnicity as it appears on their official identification.
05
Include the full names of both parents of the individual whose birth certificate is being requested. If the names are unknown, indicate "unknown" or "not listed" in the appropriate spaces.
06
Indicate the relationship of the person filling out the application to the individual whose birth certificate is being requested. This could be the individual themselves, a parent, legal guardian, or legal representative.
07
Provide a valid mailing address where the requested birth certificate should be sent.
08
Include a contact phone number and email address for any necessary communication regarding the application or the requested birth certificate.
09
Sign and date the application form, certifying that the information provided is accurate to the best of your knowledge.
10
Make a copy of the completed application for your records before submitting it to the Florida Department of Health.

Who needs a Florida birth certificate application:

01
Individuals who were born in the state of Florida and require proof of their birth for various purposes such as obtaining a passport, driver's license, or identification card.
02
Parents or legal guardians who need to request a copy of their child's birth certificate.
03
Legal representatives who are authorized to request a birth certificate on behalf of an individual, such as an attorney or court-appointed guardian.
04
Individuals or organizations who need to access birth records for genealogical, research, or historical purposes.

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Click VitalChek® to start your online order or call VitalChek at 1-877-550-7330 to order by phone. If calling from outside the U.S., call 1-615-372-6800.
ORDER ONLINE WITH VITALCHEK Click here to order online with a credit card from VitalChek® and have your certificates delivered right to your door. VitalChek is our only contracted vendor for the Florida Bureau of Vital Statistics. We do not recommend using any other online vendor.
You may order birth and death certificates by phone with a credit card by calling VitalChek at 1-877-297-9125. All major credit cards are accepted, including American Express®, Discover®, MasterCard® or Visa®. The VitalChek fax number is 1-888-985-2842.
How to apply for a birth certificate via eCitizen portal Log in to your eCitizen account. Go to Civil Registration Department click 'Get Service'. Click 'make application' to get started. Select Birth Certificate. Fill the online application form. Upload all required documents.
Order via telephone: You may order birth and death certificates by phone with a credit card by calling VitalChek at 1-877-297-9125. All major credit cards are accepted, including American Express®, Discover®, MasterCard® or Visa®. The VitalChek fax number is 1-888-985-2842.

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A Florida birth certificate application is a form that can be used to apply for a copy of a birth certificate. The application must be completed and submitted to the Florida Division of Vital Statistics in order to obtain a copy of the birth certificate. The application typically requires information such as the name of the person on the birth certificate, the date and place of birth, and contact information for the applicant.
The parent(s) or legal guardian(s) of the child must file the Florida Birth Certificate application.
The purpose of a Florida Birth Certificate application is to obtain an official document that records the birth of a person in the state of Florida. This document is used to prove identity and citizenship, and can also be used as proof of age.
To fill out a Florida birth certificate application, please follow these steps: 1. Obtain the birth certificate application form: Visit the Florida Department of Health website or the local county health department to find the application form for a birth certificate. 2. Required information: Gather the necessary information that you will need to complete the application. This typically includes details such as the full name of the child, date of birth, place of birth, mother's full maiden name, father's full name, and their addresses and dates of birth. 3. Complete the application form: Fill in the required details on the application form accurately. Make sure to use black or blue ink and print legibly. 4. Provide identification: Attach a photocopy of your government-issued photo identification, such as a driver's license or passport, with the completed application. This is required to establish proof of your identity and eligibility to request the birth certificate. 5. Pay the fee: Include the appropriate fee with the application form. The fee amount may vary, so check the instructions provided with the application form or contact the county health department for the most up-to-date information. Accepted payment methods may include cash, check, or money order. 6. Submit the application: Once you have completed the form, attached the necessary identification, and included payment, you can submit the application. You can either mail it to the address provided on the application or submit it in person at the local county health department. 7. Wait for processing: The processing time for a birth certificate application can vary. It may take a few weeks to receive the birth certificate by mail or you can choose to expedite the process for an additional fee. It is important to note that specific instructions and requirements may vary between different counties in Florida. Therefore, double-check the guidelines provided with the application form or contact the local county health department for any additional instructions or specific requirements.
On a Florida birth certificate application, the following information must generally be reported: 1. Child's information: - Full name of the child - Date of birth - Place of birth (specific hospital or city/county) - Gender - Weight and length at birth - Single or multiple birth (e.g., twins, triplets) 2. Parents' information: - Full name of the mother and father - Maiden name of the mother - Date of birth of the mother and father - Place of birth of the mother and father - Race/Ethnicity of the mother and father - Occupation of the mother and father - Social Security Numbers (optional, but highly encouraged) 3. Birth order information: - Number of previous live births for the mother - Number of previous live births to this father - Number of previous pregnancies for the mother - Number of previous pregnancies for this father - Number of previous stillborn children for the mother - Number of previous stillborn children for this father 4. Attending physician, midwife, or other birth attendant: - Full name of the attending medical professional - License or certification number - Address and contact information 5. Informant(s): - Full name and relation of the people providing the information (e.g., mother, father, relative, hospital staff, etc.) It is important to note that specific requirements may vary depending on the circumstances, such as when the child was adopted or born through assisted reproductive technology. It is best to consult the Florida Department of Health website or contact the Vital Statistics office for the most accurate and up-to-date information.
There is no specific penalty mentioned for the late filing of a Florida birth certificate application. However, it is advised to file the application as soon as possible after the birth of a child to avoid complications or delays in obtaining the birth certificate.
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