Electronic Birth Certification Request Page 2
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2DL 57 (02/10/2014)
page 2
PARTICIPATING STATES - BIRTHDATE/FEES (includes $2 administrative fee)
The following tables indicate those states currently offering electronic certification and the cost ($2 administrative fee included). A black bullet indicates that state will also provide
customer information for use as Primary Identity. A dash indicates the state is not currently participating.
BORN IN OR
CERTIFICATION
BORN IN OR
CERTIFICATION
BIRTH STATE
BIRTH STATE
AFTER
COST
AFTER
COST
-
ALASKA (AK)
NEW HAMPSHIRE (NH)
1890
$32.00
-
ALABAMA (AL)
NEW JERSEY (NJ)
1982
$17.00
1965
$27.00
ARKANSAS (AR)
NEW MEXICO (NM)
1935
$14.00
1868
$12.00
NEVADA (NV)
ARIZONA (AZ)
1935
$22.00
1983
$22.00
-
CALIFORNIA (CA)
NEW YORK (NY)
1905
$21.00
-
NEW YORK CITY (NYC)
COLORADO (CO)
1903
$19.75
(Bronx, Brooklyn, Manhattan,
1920
$17.00
-
CONNECTICUT (CT)
-
Queens, Staten Island)
DIST. COLUMBIA (DC)
1935
$25.00
OHIO (OH)
1909
$23.50
-
DELAWARE (DE)
-
OKLAHOMA (OK)
1947
$17.00
-
FLORIDA (FL)
-
OREGON (OR)
1920
$22.00
GEORGIA (GA)
1989
$27.00
PENNSYLVANIA (PA)
1921
$12.00
HAWAII (HI)
1909
$12.00
RHODE ISLAND (RI)
1940
$22.00
-
IOWA (IA)
-
-
-
SOUTH CAROLINA (SC)
-
IDAHO (ID)
-
SOUTH DAKOTA (SD)
1905
$17.00
-
ILLINOIS (IL)
-
TENNESSEE (TN)
1976
$10.00
INDIANA (IN)
1935
$12.00
-
-
TEXAS (TX)
KANSAS (KS)
-
-
-
-
UTAH (UT)
KENTUCKY (KY)
1911
$12.00
VIRGINIA (VA)
1912
$14.00
LOUISIANA (LA)
1912
$17.00
VERMONT (VT)
1909
$12.00
MASSACHUSETTS (MA)
1953-2010
$34.00
-
-
WASHINGTON (WA)
-
-
MARYLAND (MD)
-
-
WISCONSIN (WI)
MAINE (ME)
1988-2012
$17.00
WEST VIRGINIA (WV)
1947
$14.00
MICHIGAN (MI)
1989
$36.00
-
-
WYOMING (WY)
-
-
MINNESOTA (MN)
U.S. TERRITORIES
MISSOURI (MO)
1920
$17.00
AMERICAN SAMOA
-
-
MISSISSIPPI (MS)
1912
$14.00
GUAM
-
-
MONTANA (MT)
1920
$14.00
MIDWAY ISLANDS
-
-
-
-
NORTH CAROLINA (NC)
N. MARIANA ISLANDS
-
-
NORTH DAKOTA (ND)
1870
$9.00
PUERTO RICO
-
-
-
NEBRASKA (NE)
-
U.S. VIRGIN ISLANDS
-
-
ACCEPTABLE DOCUMENTS FOR U.S. VITAL RECORDS AGENCIES
The following is a list of Primary and Secondary documents which are acceptable to Vital Records Agencies for the purpose of certifying a birth and/or producing a
birth certificate. One Primary Document or two Secondary Documents must be submitted in order to conduct an electronic certification.
SECONDARY DOCUMENTS
PRIMARY DOCUMENTS
Driver's license issued by a U.S. state, territory, or jurisdiction unexpired
U.S. Selective Service Card
or expired for not more than one year
U.S. military discharge papers (form DD214)
Learner's/instruction permit issued by a U.S. state, territory, or jurisdiction
Health care insurance card - (i.e. Medicare Card/ Medicaid Card)
unexpired or expired for not more than one year
Life insurance policy
Photo identification card issued by a U.S. state, territory, or jurisdiction
unexpired or expired for not more than one year
Unexpired welfare/social services identification card with photo, issued by
a municipality
Current Photo ID card, (school and employment). Check Cashing Cards
are not acceptable
State-issued driver's license or learner's/instruction permit, with photo,
expired not more than 5 years
Unexpired U.S. military ID card of an active duty or retired member
State-issued photo identification card expired not more than 5 years
U.S. Passport or passport card - unexpired
U.S. Passport or passport card - expired not more than 5 years
Unexpired Foreign Passport with VISA, I-94 or I-94W
Unexpired military dependent ID card, with photo
·
U.S. Certificate of Naturalization - (form N-550, N-570 or N-578)
Unexpired weapons or gun permit issued by federal, state or municipal
U.S. Certificate of Citizenship - (form N-560 or N-561)
government
U.S. Citizen Identification Card - (form I-197)
Unexpired pilot's license
Temporary Resident Card - unexpired - (form I-688)
Veterans' Universal Access Identification Card
Employment Authorization Card - unexpired - (form I-688A, I-688B)
Foreign Passport - expired not more than 5 years, with a U.S. VISA
Refugee Travel Document - unexpired - (form I-571)
INS form I-797 (applicable only for individuals whose names appear on
Resident Alien Card - unexpired - (form I-551)
the form)
Permanent Resident Card - unexpired - (form I-551)
USCIS student or dependent SEVIS I-20 with or without USCIS stamp
(Applicant's name must appear on the form)
Northern Marianas Card - unexpired - (form I-551)
U.S. Department of State form DS-2019 (Applicant's name must appear
Asylum - A copy of the first and last page of application for Asylum
on the form)
Consular Report of Birth Abroad (form FS-240)
Certified School Records/Transcript issued by a U.S. state or territory
Certificate of Birth Abroad (FS-545)
Certificate of Enrollment issued by Virginia Department of Education
Certification of Report of Birth of a U.S. citizen (DS-1350)
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