Form 35-5246e - Application For Birth Certificate

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35-5246e (01/16)
APPLICATION FOR BIRTH CERTIFICATE
Applying for a Birth Certificate:
1.
Certificates can only be issued for persons born in New Brunswick.
2.
Service New Brunswick is committed to protecting your personal information. The information collected
on this application form will be used solely by SNB Vital Statistics to fulfill your application request. By
completing this application form you are agreeing to provide information for this purpose.
Who is Entitled to Apply For a Birth Certificate?
You, if you are the person named of the birth certificate.
The parent(s) of a child under 19 years of age. Parent(s) must be listed on the birth record or provide
court documents proving parentage.
The parent(s) of a child over 19 years of age who is mentally incapable - proof is required.
A person who has been granted guardianship – proof is required.
A person with a court order – proof is required.
A person who requires it to comply with a specific Act or Regulation – proof is required.
If you are applying for the certificate of a deceased individual, proof of death is required.
Information Contained on Birth Certificates:
a) Short form certificates include the following information: Surname and given names of individual, date
of birth, place of birth, sex, registration date, registration number and date issued.
b) Long form certificates include all of the above information plus the names of the parents and the
province or country of the parents’ birth. Note: The long form birth certificate is recommended when
applying for the certificate of a minor child.
c) For married women, birth certificates are issued in your maiden name.
Processing Times:
Regular Service - If an application is complete, the event is registered, and the information given in the
application agrees with our records, "Regular" requests will be processed within 10 business days. This does
not include postal or courier delivery time.
Expedited Service - If an application is complete, the event is registered and the information given in the
application agrees with our records, "Expedited" requests will be processed within 48 business hours for pick
up at 435 King Street, Suite 203 (Monday through Friday) or sent by courier the next business day.
Fees:
a) Long form certificate
$45
b) Short form certificate
$45
c) Expedited Service Fee
$50 (does not include cost of certificate or shipping)
Payment Options:
Cheque or money order payable to Service New Brunswick
Debit card or cash (In person at any Service New Brunswick service centre)
Visa, MasterCard or American Express
Delivery Options:
Birth certificates are shipped via mail, free of charge. You may choose to have your birth certificate couriered
to you for an extra fee:
Courier service within NB, NS or PE
$10 (plus applicable taxes)
Courier service to other Canadian destinations
$25 (plus applicable taxes)
Courier service to the United States
$40 (no tax outside Canada)
Courier service outside Canada & US
$80 (no tax outside Canada)

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