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Free Copies of Birth Certificates Instructions

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Free Copies of Birth Certificates document sample

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									                                 Instructions to receive a copy of
                                        Birth Certificates
                                        Death Certificates


The Coryell County Clerk’s office has birth certificates of people born in Coryell County only. The
earliest records are around 1903. Birth certificates are closed record for 75 years and Death
Certificates are closed record for 25 years. Only qualified applicants may obtain copies.. Qualified
applicants are defined in the Family Code as the person named on the certificate, the mother, father,
sibling, spouse, grandparent, legal guardian or legal representative. Applicants must provide valid
identification such as a state issued drivers license.

To obtain a birth or death certificate by mail, the request must be in writing so please complete the
attached include a copy of the applicants’ valid driver’s license along with a money order payable to
Coryell County Clerk.

Certified copies of birth certificates are $23.00 each.

Mail to:
Coryell County Clerk
P.O. Box 237
Gatesville, Texas 76523

If you have any questions please feel free to contact our office at 254-865-5911 extension 2235 or
email county_clerk@coryellcounty.org.

You may also write your request on a sheet of paper, please include full name on birth record, date
of birth, name of parents and the relation to the person on the birth record. You must include a copy
of a valid identification. No Personal Checks.
                               CORYELL COUNTY CLERK
     APPLICATION FOR CERTIFIED COPY OF BIRTH or DEATH CERTIFICATE
                                 Coryell County Births Only
1. Full Name of Person on Record __________________________________________________

2. Date of Birth or Death
_______________________________________________________

3. Place of Birth            _______________________________________________________

4. Fathers Name             _______________________________________________________

5. Mothers Name
________________________________________________________

6. Relationship             _______________________________________________________
(Is this your Mother, Father, Husband, Wife, Child, Brother or Sister or Your Record)

7. Purpose for Obtaining this Record _______________________________________________

I solemnly swear (or affirm) that the information I have given in this application is true and correct.

Your name ___________________________ Your Signature____________________________
             (Print)

Your address___________________________
Identification of the Applicant:  ______________________________________________
When mailing include a photocopy of valid photo ID or your order will not be Processed.



COST $23.00 Birth
COST $21.00 Death
Additional Death Certificates after first one $4.00
MONEY ORDERS ONLY
NO PERSONAL CHECKS

A COPY OF THE REQUESTOR’S DRIVER’S LICENSE OR A PICTURED I.D. ISSUED BY A
STATE AGENCY, FEDERAL GOVERNMENT

Warning: The Penalty for Knowingly making a false statement in this form can be 2-10 years in
Prison and a Fine of up to $10,000. (Health and Safety Code, Chapter 195, Sec. 195.003)

								
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