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

STEP 7 - Father of Subject

Father’s Name: _______________________________

_______________________________

First

Middle -

Must provide full name if known.

*Last

* If the father was adopted, enter adopted name

Father’s Age

: __________

Father’s Date of Birth

_______________ _______________ ___________

at time of subject’s birth

Month

Day

Year

Father’s Place of Birth: City/Town: _________________________ Prov./State: _________________ Country: ____________________

STEP 8 - Provide a Guarantor -

applicant’s aged 9 or older MUST provide a guarantor

THIS SECTION MUST BE COMPLETED

Guarantors must be known by the applicant (name shown on Contact Information) for at least two years, reside in Canada, be a Canadian citizen,

hold an occupation from the list below, is not retired, and is a practicing member in good standing. You must have permission by the guarantor to

provide his or her information. The guarantor can be a family member, provided they hold an occupation from the list below. The guarantor does

not need to sign the application. The following are guarantors for the purposes of section 45.1 of the Vital Statistics Act:

My Guarantor’s Occupation is

(Must be one of the following)

Physician

Nurse

Professional Accountant

Dentist

Signing Officer at Bank

Lawyer

Pharmacist

Professional Engineer

Police Officer

Other: __________________________

Must be an occupation listed below

Chief of a band recognized under the Indian Act (Canada), chiropractor, judge, justice of the peace, mayor, member of the Legislative Assembly of

Ontario (MPP), midwife, minister of religion authorized under provincial law to perform marriages, municipal clerk or treasurer (a member of the

Association of Municipal Managers, Clerks and Treasurers of Ontario), optometrist, teacher or principal (primary or secondary school), notary

public, psychologist, senior administrator (community college or in a CEGEP), senior administrator or professor in a university, First Nations police

officer, caisse d'économie, caisse populaire, credit union or trust company social worker or social service worker, surgeon or veterinarian.

Name: ____________________________ _____________________________

Organization/Firm:_______________________________

First

Last

Work Address: ____________________________________________________

Unit/Suite: _____ City: ______________________

Must be civic address

Province: __________________________

Postal Code:__________________

Registration.#:________________________________

If available or applicable

Daytime Phone Number: (______) _____________________

Extension:_______e

Fax Number: (______) _______________________

STEP 9 - Search Letter -

complete step 9 only if applying for a search

Complete this section if you do not know the exact date of

birth. You must still complete the other sections.

I do know the year of birth. Provide year and month or day if known:

_______________

_____________________

__________

Year

Month

Day

I do not know the year of birth. Search 5 consecutive years:

_______________ _______________ _______________ _______________ _______________

Search another 5 year period

($15.00 for each additional consecutive 5 year period searched.)

_______________ _______________ _______________ _______________ _______________

Please Note: You must fill out a separate application for a birth certificate AFTER you receive the search letter.

STEP 10 - Submit Application

By submitting this application you are authorizing Express Legal to request a certificate of birth on your behalf.

Applications are processed upon receipt, as such we cannot change or cancel applications once received.

Your certificate will be sent to you directly from the Ontario Office of the Registrar General.

Please return your completed application to us by one of the following methods:

• Scan & Email: ontario@expresslegal.ca • or Toll-Free Fax: 1.866.265.6300

• or Regular Email

• or Regular Mail

Express Legal

79-622 Front Street

Nelson, BC, V1L 4B7

Toll Free Phone: 1-866-828-9680

Ontario Birth Certificate Application Page 3

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