Monroe County Vital Records

Birth Certificate Order Form

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Was the person on the birth certificate born in Monroe County, NY?

YES NO

Whose birth certificate are you ordering?

My birth certificate My child's birth certificate - parent must be named on certificate Other

If relationship is "other," please call our office at 585-753-5141.

* Required Fields

Name (as it appears on certificate): *

First *

Middle

Last *

Suffix

Gender: *

Father's Name:

First

Middle

Last

Suffix

Mother's Maiden Name (her birth name): *

First *

Middle

Maiden (birth) Last Name *

Date of Birth: *

Select the type of record you are requesting and indicate the number of copies requested below. You must know which type of document you need to purchase. No refunds or exchanges will be granted based on selection of the wrong document.

Certified Transcript of Birth: **RECOMMENDED FOR PASSPORT/DRIVER’S LICENSE** The certified transcript of birth is issued across New York State to anyone over the age of 18 and includes parents information. It is the nationally accepted document for identification purposes excluding dual citizenship.

Quantity: x $30 each

Certified Full Image: The full image of the birth record is always issued to ages 18 and under. It is also available to anyone born after 1928. This record is a certified copy of the image stored on file with the state of New York. The images vary year to year and are hand written prior to 1965 in most cases. The record includes parent's names and time of birth. This record is valid for all forms of identification and is the only record accepted for dual citizenship.

Quantity: x $30 each