Connecticut Birth Certificate Application Form PDF

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Connecticut Birth Certificate Application Form PDF 2023 : A birth certificate is a crucial document that serves as proof of one’s identity and citizenship. In Connecticut, obtaining a birth certificate involves filling out a specific application form provided by the Connecticut Department of Public Health.

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Connecticut Birth Certificate Application Form PDF

This form is essential for various purposes, including applying for a passport, enrolling in school, and even establishing eligibility for certain government benefits. In this comprehensive guide, we will explore the Connecticut Birth Certificate Application Form PDF, its importance, and the step-by-step process to complete it correctly.

Connecticut Birth Certificate Application Form PDF

A birth certificate is an official document that records a person’s birth. It contains essential information about an individual, such as their full name, date of birth, place of birth, and the names of their parents. This document holds immense significance for several reasons:

  • Proof of Identity: A birth certificate serves as primary evidence of a person’s identity. It is required when applying for various official documents, such as passports, driver’s licenses, and social security cards.
  • Citizenship Verification: A birth certificate is often used to establish an individual’s citizenship or nationality, which is essential for international travel and immigration purposes.
  • School Enrollment: Parents need to present their child’s birth certificate when enrolling them in school. It ensures that the child is of the appropriate age for a particular grade.
  • Legal Transactions: Birth certificates are necessary for various legal transactions, such as getting married, applying for a marriage license, and claiming inheritance.
  • Government Benefits: Some government benefits and programs require proof of citizenship or birth, making a birth certificate an essential document to access these benefits.

Given its significance, obtaining a birth certificate is a crucial step for individuals in Connecticut and across the United States.

Who Can Request a Certified Copy of a Birth Certificate?

Birth records are confidential records and are not open to the general public, except for those that are at least 100 years old.  For birth certificates less than 100 years old, you can only obtain the birth certificate if:

  • It’s you and you are 18 years of age or older, or an emancipated minor or a certified homeless youth
  • You are the parent, legal guardian, grandparent, spouse, adult child, or adult grandchild
  • You are an attorney-at-law representing the person named on the birth certificate or an eligible relative (see above), an agent of approved state or federal agency, a member of a Connecticut genealogical society (see the Connecticut State Library for more information) or a Conservator of Person
  • For additional eligible parties see C.G.S section 7-51

Checklist for Obtaining a Certified Copy of a Birth Certificate

  • Make sure that you are eligible to obtain the birth certificate
  • Complete the application 
  • Order your vital record online (additional fees may apply) through VitalChek, or
  • Complete the State application and mail your order in to the State Vital Records office, or
  • Complete the Town application and mail your order in to the town of occurrence
  • Include your photo ID
  • Provide documentation proving that you are entitled to obtain the birth certificate (only applicable if the requester is not the birth registrant or a parent listed on the birth certificate)
  • Include the applicable fee

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How TO Download Connecticut Birth Certificate Application Form PDF

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Connecticut Birth Certificate Application Form

Connecticut Birth Certificate Application Form Download Link

Application to Request a Birth Certificate
Application to Request a Birth Certificate

Connecticut Birth Certificate Application Form PDF

The Connecticut Birth Certificate Application Form is a standardized document provided by the Connecticut Department of Public Health. This form is available in PDF format, making it easily accessible for residents of the state. The form includes fields for essential information required to create or request a copy of a birth certificate.

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Key Information Included in the order birth certificate online ct:

  • Applicant Information: This section requires details about the person filling out the form, including their name, address, phone number, and email address.
  • Birth Information: Here, you will provide information about the person whose birth certificate is being requested. This includes their full name, date of birth, place of birth, and parent’s names.
  • Relationship to the Person Whose Birth Certificate is Being Requested: You will need to specify your relationship to the individual whose birth certificate is being requested. This ensures that only eligible individuals can access the birth certificate.
  • Purpose of Request: Indicate the reason for requesting the birth certificate, such as passport application, school enrollment, or legal matters.
  • Payment Information: Specify the payment method and include the necessary payment details. Connecticut typically charges a fee for obtaining a copy of a birth certificate.
  • Notary Section: Some requests may require notarization. If so, there is a section for a notary public to verify the applicant’s identity.
  • Signature: The form requires the applicant’s signature as a declaration that the information provided is accurate.

Filling Out the Connecticut Birth Certificate Application Form

Now that we have an overview of the Connecticut Birth Certificate Application Form PDF, let’s explore the step-by-step process for completing it correctly:

Step 1: Download the Form

You can access the Connecticut Birth Certificate Application Form PDF on the official website of the Connecticut Department of Public Health. Ensure that you download the most up-to-date version of the form to avoid any complications during the application process.

Step 2: Read the Instructions

Before you start filling out the form, carefully read the instructions provided with it. These instructions will guide you through the process and clarify any doubts you may have.

Step 3: Gather Required Information

Collect all the necessary information and documents before you begin filling out the form. This typically includes:

  • The full name of the individual whose birth certificate is being requested.
  • The date of birth.
  • Place of birth (city or town in Connecticut).
  • The names of the individual’s parents (mother’s maiden name and father’s name).
  • Your relationship to the person whose birth certificate is being requested.
  • The purpose of your request (e.g., passport application, school enrollment).
  • Payment information (credit card, money order, or check).
  • Any required supporting documents (e.g., ID, proof of relationship).

Step 4: Complete the Form

Now, fill out the form accurately and legibly. Use black or blue ink and ensure that all information is clear and readable. Double-check the information to avoid errors, as inaccuracies can lead to delays in processing your request.

Step 5: Payment

Include the appropriate payment for the birth certificate. Connecticut typically charges a fee for obtaining a copy of a birth certificate. Be sure to verify the current fee and make the payment using the specified method.

Step 6: Notarization (If Required)

If the form requires notarization, visit a notary public to have your signature verified. Notarization is often necessary for certain legal or government purposes.

Step 7: Review and Sign

Before submitting the form, review it thoroughly to ensure that all information is accurate and complete. Once you are satisfied, sign the form in the designated area.

Step 8: Submission

Submit the completed form along with any required supporting documents and payment to the appropriate office. The address for submission is typically provided in the instructions. You can usually mail the form or, in some cases, submit it in person.

Step 9: Processing Time

Processing times for birth certificate requests may vary depending on the purpose of the request and the method of submission. Check with the relevant authority for estimated processing times. Expedited processing options may also be available for an additional fee.

Step 10: Receive the Birth Certificate

Once your request is processed and approved, you will receive a copy of the birth certificate by mail or in person, depending on your chosen delivery method.

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If you are a representative from a federal or state agency requesting a certified copy of a birth certificate, you must comply with the following requirements:

  • Complete and sign the official request on agency letterhead.
  • Submit a copy of his/her employee PICTURE IDENTIFICATION issued by the agency.
  • Submit a RELEASE OF INFORMATION form signed by the client authorizing the agency to obtain his/her record or, submit an official copy of a guardianship decree issued by a proper Court.
  • If a State certified certificate is not needed, you may obtain an official, certified copy from the town of birth
    • The fee for a birth certificate issued from the State of Connecticut Vital Records Unit is $30.00.
    • The fee for a birth certificate issued from the town/city of birth is $20.00.

What Needs to Be Included with Your Request?

All requests for certified copies of birth certificates must be accompanied by:

  • a valid, government issued photographic identification which includes the requester’s name, date of birth, signature, and an expiration date. If the State or town vital records office has reason to doubt the authenticity of a document presented, the requester may be asked to provide additional documentation.OR
  • Other forms of identification:  If a photographic identification is not available, two (2) of the documents listed below may be substituted. For mail requests, a photocopy of the document is sufficient, do not send original;
    • Social security card;
    • Social security card supplemented with either an employment identification card, a paycheck stub or a W-2 form. Providing the documents in this subdivision fully satisfies the identification requirements of this section;
    • Automobile registration;
    • Copy of utility bill showing name and current address;
    • Checking account deposit slip or bank statement stating name and current address;
    • Voter registration card;
    • Valid government issued trade or professional license;
    • Valid government issued firearm permit;
    • Probation documents issued by a court or other government agency, pursuant to a criminal conviction;
    • Letter from a government agency verifying identity. The letter shall be dated within six months prior to the date of the request;
    • Release documentation from a correctional institution containing a photograph of the former inmate and a release date within 12 months prior to the date of the request;
    • Birth certificate of the requester;
    • Military discharge papers;
    • Current school or college photographic identification; or
    • Government issued photographic identification that has expired within 12 months prior to the date of the request.

If you are requesting a birth certificate for someone other than yourself or your child, you will need to submit proof verifying your relationship to the person whose birth certificate you are requesting.  For example: If you are requesting the birth certificate of your parent, you must submit a copy of your own birth certificate in order to prove the parent/ child relationship.

For persons with a legal name change

If you have had a legal name change and your identification documents do not match the information on the vital record you are requesting, you must submit a copy of the court order verifying the legal name change.

Request a Certified Copy of a Birth Certificate

For a birth occurring on or after January 1, 2003:

You may request a certified copy of the birth certificate from any town vital records office or the State Vital Records Office. 

For a birth occurring prior to January 1, 2003:

You may request a certified copy of the birth certificate ONLY from the following:

  • The town vital records office of the town where the birth occurred, or
  • The town of the mother’s residence at the time of birth, or
  • The State Vital Records Office.

FAQ’s-Connecticut Birth Certificate Application Form PDF

Q: What is a birth certificate, and why is it important?

Ans: A birth certificate is an official document that records a person’s birth, including essential information like their full name, date of birth, place of birth, and parents’ names. It is important because it serves as proof of identity, citizenship, and is required for various legal and official purposes.

Q: Where can I find the Connecticut Birth Certificate Application Form PDF?

Ans: You can find the Connecticut Birth Certificate Application Form PDF on the official website of the Connecticut Department of Public Health. It’s essential to download the most up-to-date version of the form.

Q: What information is required to complete the Connecticut Birth Certificate Application Form?

Ans: To complete the form, you’ll need information such as the full name of the person whose birth certificate is requested, their date of birth, place of birth, the names of their parents, your relationship to the individual, the purpose of the request, payment information, and, in some cases, notarization.

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Q: Why is notarization required for some birth certificate requests?

Ans: Notarization may be required for certain birth certificate requests to verify the authenticity of the applicant’s signature. This added layer of verification is often necessary for legal or government-related purposes.

Q: How can I ensure accuracy when filling out the Connecticut Birth Certificate Application Form?

Ans: To ensure accuracy, double-check all the information you enter on the form, use black or blue ink, and follow the provided instructions carefully. Errors or inaccuracies can lead to delays in processing your request.

Q: What is the typical payment method for obtaining a Connecticut birth certificate?

Ans: Payment for obtaining a Connecticut birth certificate is typically made using methods such as credit cards, money orders, or checks. The exact fee may vary, so it’s essential to verify the current fee before submitting your application.

Q: What are some common purposes for requesting a Connecticut birth certificate?

Ans: Common purposes for requesting a Connecticut birth certificate include applying for a passport, enrolling in school, getting married, applying for a marriage license, and claiming inheritance. It is also necessary for various government benefits and programs.

Q: How long does it take to process a birth certificate request in Connecticut?

Ans: The processing time for a birth certificate request in Connecticut can vary depending on the purpose and the method of submission. It’s advisable to check with the relevant authority for estimated processing times. Expedited processing options may be available for an additional fee.

Q: What should I do once I receive my Connecticut birth certificate?

Ans: Once you receive your Connecticut birth certificate, it’s crucial to keep it in a safe and secure location. You may need it for future reference or when conducting transactions that require proof of identity or citizenship.

Q: Is the Connecticut Birth Certificate Application Form PDF accessible to residents only?

Ans: No, the Connecticut Birth Certificate Application Form PDF is typically accessible to anyone who needs to request a Connecticut birth certificate, whether you are a resident or not. However, the birth certificate being requested must pertain to a birth that occurred in Connecticut.

Conclusion – Connecticut Birth Certificate Application Form PDF

A birth certificate is a vital document with numerous applications in various aspects of life. The Connecticut Birth Certificate Application Form PDF is the gateway to obtaining this essential record. By following the step-by-step guide outlined in this article, you can complete the form accurately and efficiently, ensuring that you have the necessary documentation to prove your identity and citizenship.

Remember to keep a copy of the birth certificate in a safe and secure location, as it may be required for future reference or transactions. If you ever need to request a copy of your birth certificate in Connecticut, this guide will be a valuable resource to help you navigate the process with confidence.

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