Birth certificate replacement pennsylvania
[PDF File]APPLICATION DATE APPLICATION FOR CERTIFIED COPY OF BIRTH ...
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ALLOW 6 TO 8 WEEKS FOR CERTIFICATE TO ARRIVE NOTE: A dishonored check will require an additional penalty fee of $20.00 (Ordinance of City Council). IT IS MOST IMPORTANT THAT DATE OF BIRTH BE COMPLETELY FILLED IN CITY OF PHILADELPHIA APPLICATION DATE DEPARTMENT OF RECORDS CITY ARCHIVES 3101 MARKET STREET • PHILADELPHIA, PA 19104
[PDF File]APPLICATION FOR A CERTIFIED COPY OF A DELAWARE BIRTH ...
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APPLICATION FOR A CERTIFIED COPY OF A DELAWARE BIRTH CERTIFICATE PLEASE COMPLETE ALL ITEMS REQUESTED BELOW AS ACCURATELY AS POSSIBLE. 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
[PDF File]PA
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US Armed Forces o Federal Government o Pennsylvania State Government Relationship to person meeting exemption (check one): o Spouse o Dependent Child NAME CHANGE - If you desire to use your birth name, you must present your state issued birth certificate with a …
[PDF File]H105.102 REV 0 Initials: BIRTH Birth Certificate PO M
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The fee is waived if the applicant is requesting the certificate for self, spouse or a dependent child. Order from Pa.’s only authorized online provider at www.vitalchek.com or by phone at 866-712-8238 (credit cards accepted). Order in person at a Pennsylvania Vital Records branch office in Erie,
[PDF File]Application for Certified Copy of Birth Record BIRTH ...
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Application for Certified Copy of Birth Record BIRTH Pennsylvania Department of Health ♦ Division of Vital Records BIRTH PART 1: By my signature below, I state I am the person whom I represent myself to be herein, and I affirm the information within this form
[PDF File]Hunter Education Program Replacement Certificate Affidavit
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Commonwealth of Pennsylvania PENNSYLVANIA GAME COMMISSION Division of Research & Education Phone (717)787-7015 HUNTER EDUCATION PROGRAM REPLACEMENT CERTIFICATE AFFIDAVIT IMPORTANT NOTICE: This affidavit is permitted only for that period in time when student certification records are not maintained. Any person who knowingly falsifies this ...
[PDF File]Pennsylvania State Archives Non-Certified Copy of Birth or ...
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Enter only one certificate request per line. Name, date, and certificate number is required for each record requested. Name, date, and certificate number is required for each record requested. ~ Please note, for 1908-09, 1911 birth records ONLY, you must provide the month and county where the person was
[PDF File]Pennsylvania Department of Health
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H105.133 REV. 06/2016 Pennsylvania Department of Health . Division of Vital Records . The information appearing on the Certification of Birth is transcribed from the original birth certificate as filed with the Division of Vital Records. The Division of Vital Records reserves the right to …
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