Ontario Birth Certificate Application
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Complete Ontario Birth Certificate Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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Ontario Birth Certificate Application
This application is to obtain a birth certificate for subjects born in Ontario
Although you can fill out the application online, you cannot save or email it. Please type, print and sign the application then fax, scan
and email or mail your application to us. A receipt, along with your order information, will be issued and sent to you by email or mail.
Is the Subject Deceased?
Yes
No
(if yes, please see “Important Note”)
Important Note: If you are obtaining a birth certificate for someone who is deceased or if you are applying for a child and you are not a
parent listed on the birth registration, please contact the Registrar’s Office at 1-800-461-2156 as additional documentation is required.
Applications are processed upon receipt. As such, we cannot change or cancel applications once received.
Contact Information
Relationship to subject?
*Self
Mother
Father
*Must be at least 13 years old to apply for self
Name: ___________________________________________
Firm/Organization: ___________________________________________
Applicant
Complete only if certificate to be delivered here
Telephone Number:
(_____) ________________________
Extension: ________
Daytime Number:
(_____) ________________________
Extension: ________
Mailing Address: _______________________________________________________
Apt.: ___________ Buzzer Code: ___________
Certificates delivered by courier
City: _________________________ Prov./State: _________________ Country: _________________ Postal/Zip Code: _______________
If Required, I Prefer to be Contacted by:
Email
Telephone
Email Address: __________________________________________________________________________________________________
Receipt will be mailed if no email provided
Application
You must enter as much information as possible. If information is missing or does not match the original birth registration there
may be delays in processing your application. If there has been a legal name change, please use the new legal name.
Reason Required:
First Time Applying
Lost
Stolen
Damaged
Other: _________________________
Please Specify Reason
Subject Name*: __________________________________ _____________________________ _____________________________
First
Middle
Last
*Use the subject’s last name at birth unless there has been a legal name change. Assuming your spouse’s last name is NOT a legal name change.
Subject Gender:
Male
Female
Previous Legal Name: ______________________________ _____________________________ _____________________________
If Applicable
First
Middle
Last
Other
Previous Legal Name: ______________________________ _____________________________ _____________________________
If Applicable
First
Middle
Last
Date of Birth: ________________ ___________ ___________
Place of Birth: _________________________________, ONTARIO
Month
Day
Year
City/Town
Weight at Birth: ______________ ___________ ___________
Number of Older Siblings at Time of Birth: __________
Pounds
Ounces
OR
Grams
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