Fillable Ontario Birth Certificate Application (Page 3 of 3) in pdf

Payment Information

No more than one short form (wallet size) and one long form (certified copy) will be issued by the Government of Ontario. All delivery

times quoted are average delivery times, and cannot be guaranteed. All taxes and shipping costs are included.

Short Form (wallet size) – First time applying for Birth Certificate – 15 to 20 business days - $75.00

Short Form (wallet size) – Replacement Birth Certificate – 15 to 20 business days - $85.00

Short Form (wallet size) – Rush – First time applying for Birth Certificate – 5 to 7 business days – $110.00

Short Form (wallet size) – Rush – Replacement Birth Certificate – 5 to 7 business days – $120.00

Long Form (certified copy) – First time applying for Certified Copy – 15 to 20 business days – $85.00

Long Form (certified copy) – Replacement Certified Copy – 15 to 20 business days – $95.00

Long Form (certified copy) – Rush – First time applying for Certified Copy – 5 to 7 business days – $120.00

Long Form (certified copy) – Rush – Replacement Certified Copy – 5 to 7 business days – $130.00

Newborns: A certificate will be issued upon completion of the birth registration. The registration takes approximately 16 weeks

from the date of birth. Rush service is not available for newborns born within the last 16 weeks. Please contact the Registrar’s Office

at 1-800-461-2156 if you do require a certificate for a newborn on a rush basis.

Births Prior to 1930: Births prior to 1930, may not be in electronic format. When applying for a birth certificate for a birth prior to

1930, it can take up to an extra 6-8 weeks for the registration to be converted into electronic format before processing can be completed.

Births Over 95 Years Ago: The Province of Ontario retains birth records for 95 years. If you require a birth certificate for a birth that oc-

curred over 95 years ago, please contact Archives of Ontario at 1-800-668-9933.

Delivery Outside Canada: Rush service is not available for delivery outside of Canada.

Credit Card Type:

(or)

Phone me for credit card details (cardholder must still sign below).

Credit Card Number: _____________________________________________ Exp. Date: ___________

Name of Cardholder: _____________________________________________ Cardholder Email: _________________________________

Date: ____________________________ Signature: _______________________________________

Charge will appear as “Express Legal” on credit card statement.

If paying by money order or certified cheque please mail the completed application along with your payment.

Any applications received with a personal cheque will be held until such time as the cheque clears, typically 7 days.

Cheques and money orders must be made payable to “Express Legal”.

Birth Certificate Authorization

By signing below, you are authorizing Express Legal to request a Certificate of Birth. Your certificate will be sent to you directly from the

Ontario Office of the Registrar General. Applications without a signature will not be processed.

Name: _____________________________________________________________________________

Type / Print Name

Date:

____________________________ Signature: _______________________________________

Applicant

Ontario Birth Certificate Application Page 3