[Sample] Request Letter for a Copy of Birth Certificate

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Learn how to write a request letter for birth certificate. Use our sample request letter for birth certificate as a template for your successful birth certificate request letter.

Sample Birth Certificate Request Letter

Your Applicant
Your Address
City, State, Zip Code


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: Your 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.


Your Name

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