Nevada Birth Certificates - PDF

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Description

Nevada Birth Certificates document sample

Document Sample
scope of work template
							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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