Birth Certificate Request Letter (Free Sample)
Use this sample birth certificate request letter as a template for your formal request letter.
Last updated on September 21th, 2021
Birth Certificate Request Letter Sample
Name of Applicant
Address of Applicant
City, State, Zip Code
DATE
Address of State Vital Statistics Department
City, State, Zip Code
RE: Request for Birth Certificate
To Whom It May Concern:
This is a formal request for a certified copy of my birth certificate to be sent to the above address. I need it to apply for a passport. I am including the required information to assist in locating the document:
My Full Name and Sex: Applicant’s Full Name as on the birth certificate and Sex: Male
Father’s Name: Name of Father
Mother’s Name: Name of Mother
Mother’s Maiden Name: Maiden Name of Mother
My date of birth: DATE
My Place of Birth: Name of Hospital, Address of Hospital, City, County, State
Enclosed is my certified check in the amount of AMOUNT OF FEE. I can be reached at Phone Number or at Email Address if you have any questions or need any more information.
Sincerely,
Applicant’s Signature
Applicant’s Printed Name
By Andre Bradley
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