Fillable Ontario Birth Certificate Application printable pdf download

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Ontario Birth Certificate Application

You cannot use this application and must contact the Registrar’s Office at 1-800-461-2156 if:

1. You are obtaining a birth certificate for someone who is deceased.

2. You are applying for a child and you are not a parent listed on the birth registration.

If Adopted:

Provide the adoptive parents’ names and the current legal name of

the adoptee.

STEP 1 - Contact Information

I am

The person named on the birth certificate

Must be at least 13 years old to apply for self

The mother

The father

Name: ___________________________________________

Firm/Organization: ____________________________________________

Applicant (self, mother or father)

Complete only if certificate(s) to be delivered here

Telephone Number:

(_____) ________________________

Extension: _______

Daytime Number:

(_____) ________________________

Extension: _______

P.O. BOX ADDRESS WILL DELAY DELIVERY

Mailing Address:___________________________________________________________

Apt.: __________ Buzzer Code: __________

Birth certificates are delivered by courier and need to be signed for by the applicant. You must provide a civic address where available.

City: _________________________ Prov./State: _________________ Country: _________________ Postal/Zip Code: _______________

Email Address: __________________________________________________________________________________________________

STEP 2 - Payment & Certificate Information

Reason Required:

Lost

Stolen

Damaged

Other:__________________________

Please specify reason

First Time Applying

Indicate only if no birth certificate has ever been issued for the subject

No more than one short form and one long form (certified copy) will be issued. All delivery times quoted are average delivery times, and

cannot be guaranteed. All taxes and shipping costs are included. If you are applying for a birth certificate for a particular agency or

organization, it is best to check with them to determine what type of birth certificate they require from you.

6 to 8 week average delivery time and no rush service available for births prior to 1930, to P.O. Boxes, for delivery outside of Canada and search letters.

Short Form – First Time Applying for Birth Certificate

$75.00 - 15 to 20 business days

Short Form – Replacement Birth Certificate

$85.00 - 15 to 20 business days

Short Form – First Time Applying for Birth Certificate - RUSH

$110.00 - 5 to 7 business days (IN CANADA ONLY)

Short Form – Replacement Birth Certificate - RUSH

$120.00 - 5 to 7 business days (IN CANADA ONLY)

Long Form (certified copy) – First Time Applying for Certified Copy

$85.00 - 15 to 20 business days

Long Form (certified copy) – Replacement Certified Copy

$95.00 - 15 to 20 business days

Long Form (certified copy) – First Time Applying for Certified Copy - RUSH $120.00 - 5 to 7 business days (IN CANADA ONLY)

Long Form (certified copy) – Replacement Certified Copy - RUSH

$130.00 - 5 to 7 business days (IN CANADA ONLY)

Search Letter (Provides date of birth when unknown)

$65.00 - 6 to 8 weeks (no rush service available)

$15.00 - extra for each additional 5 year search

Search Letter: If you are requesting a search to be conducted in order to determine the date of birth, you cannot request a birth certificate

at this time. A birth certificate can be requested only after you have received the search letter. You must still complete this application.

Newborns: No rush service available. 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.

Credit Card:

Credit Card Number: _____________________________________________ Exp. Date: ___________ Security Code: _______________

Name of Cardholder: _____________________________________________ Cardholder Email: _________________________________

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.

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

Any application received with a personal cheque will be held until such time as the cheque clears, typically 7 to 10 business days.

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”.

Ontario Birth Certificate Application

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