Nevada Birth Certificates - PDF
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Description
Nevada Birth Certificates document sample
Document Sample


For Office Use Only Washoe County Health District
Amount Vital Statistics
Paid by Cash Coin P.O. Box 11130 Receipt #
Check MO
Voucher Other Reno, Nevada 89520-0027
Received by Telephone (775) 328-2456
Date
BIRTH CERTIFICATE APPLICATION
Criteria for obtaining a birth certificate:
• We only have Records of Birth for births that occurred in Washoe County.
• We charge $13.00 per certificate. Certificates are original documents with a seal.
• When no father is listed on the birth certificate only the following are allowed to purchase a copy:
The mother of the person named on the certificate.
The person named on the certificate.
A court appointed legal guardian of the person named on the certificate.
• If there is a father listed on the certificate the following are allowed to purchase a copy:
The person named on the certificate.
The mother, father, grandmother, grandfather, sibling, court appointed legal guardian or spouse
of the person named on the certificate.
• If you are the legal guardian, you must have the court appointed guardianship papers with you.
(Court papers must be in original form and have a court seal on them.)
• If you are the step-parent you must have court appointed legal guardianship papers with you.
• If a birth record is not found after searching, an $8.00 search fee will be retained with the balance
refunded. However, no refunds will be issued at the window. All refunds will be mailed out within 4 to 6
weeks of receipt.
APPLICANT’S CURRENT PHOTO ID IS REQUIRED TO OBTAIN COPIES OF BIRTH CERTIFICATE
(See list posted at the window or on our websitefor acceptable forms of ID)
$13.00 per certificate Number of certificates
(PLEASE PRINT)
Name on certificate
First Middle Last
Date of birth Place of birth
Father of child’s name
Mother of child's maiden name
Reason for request
Your relationship
Your signature
Your name and mailing address:
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