USA Birth Certificate Bureau

Certified Birth Certificate Request

What you will need to do is fill out the form below and hit the print button on your browser.
Then make a copy of your driver's license or your state issued identification card (copy on a black and white machine, larger and lighter so as to be legible) and fax both to us 916-745-4880.

State fees range from $22.00 - $69.00, this includes FedEx or UPS shipping. Our fee is $49.00

You will get an emailed sales receipt within 2 business days, your order will start processing immediately after you fax it to us, if there is a problem with your order we will call you.

Your birth certificate will be delivered by an overnight courier service, average delivery times are listed on the previous page.

PLEASE USE CAPITAL LETTERS ON THE FORM BELOW All Sales Final

 Credit Card Number: Expires:
 Person's Name on Card: CVC-Code (Required):
 Card Billing Address:
 City: State:   Zip:
 Certificate Holder's Name at Birth (or adopted name):
 First Name: Middle Name: Last Name:
 Father's Name:        
 First Name: Middle Name: Last Name:
 Mother's Full Maiden Name:        
 First Name: Middle Name: Last Name:
 Certificate Holders Birth Date: State of Birth:
 County of Birth: City of Birth:
 Adopted or Legal Name Change excluding marriage:
 If adopted use adopted name and adopted parents names, Pre-adopted certificates are unavailable.
 Hospital: Sex: Number of Copies:
 Person Making this request Date of Birth
 Person Making this Request Social Security #: (Required)
 Reason For Request:
 Date of Travel (if applicable):
 Shipping Information:
 Ship to Name:
 Address (No P.O.Box)
 City:      State:    Zip:
 Daytime Telephone #:
 Alternate Telephone #:
 Email: (REQUIRED):
 How did you hear about us?:


 Applicant's Signature: _______________________________________________ Date:


 Credit Card Holder's Signature: _____________________________________________ Date:

 
 I authorize USA Birth Certificate Bureau to be my legal representative and to obtain my birth certificate.

USABCB will charge your credit card our fee upon receiving your request.  State Fees may appear on your credit card as VCN.  Once you fax your information to our office, we will process your request and notify you of any missing information or illegible documents. Please lighten and enlarge the copy of your driver’s license or other ID before faxing.

USABCB will email a receipt confirming that we have processed your request within 2 business days.

An adult must be present to sign for the certified documents.   No PO Boxes will be accepted.  If no one is available to sign, the shipper will leave a note on the door (with a tracking number) to let you know that they have tried to deliver your package. You will need to follow the instructions on the door tag to coordinate delivery of your package.

If you do not have access to a fax machine or would prefer to mail this order form to our office, please use the address below. If you are going to mail this form and are paying with a money order, please call our office so we can confirm the total for your order.

If you do not receive your Birth Certificate within the stated processing time, please call us at the number below.  We are not responsible to incorrect information on the form you submit.  ALL SALES ARE FINAL.

    

 

USA Birth Certificate Bureau
1017 L Street # 439
Sacramento, CA 95814
Phone: 1-888-342-6501
Fax: 916-745-4880