Birth Certificate, Request for

Date:
To: Whom It May Concern:

Please send a certified copy of the birth certificate for the following individual to my attention:

Name:
Date of Birth:
Town or City of Birth:
Sex:

I hereby confirm that I am the individual whose birth record is being requested.

For payment, I have enclosed my credit card information below:

Credit Card Number:
Expiration Date:
Exact Name on Card:

If payment by check is required, please advise me of the total amount due by using the enclosed stamped, self-addressed envelope. Upon receipt, I will promptly return payment by mail.

Thank you for your attention and cooperation in this matter.

Best regards,

Signature

How to Use This Sample Format

This section is provided to help you understand and prepare this request properly. If you are acting as a Trustee or Executor, revise the wording accordingly and include documentation authorizing you to act in that role.
It is advisable to retain a copy of this request for your records, in case a follow-up becomes necessary.

We also suggest making a preliminary phone call to the relevant office to confirm:

Whether a bank check is required instead of a credit card,

The exact fee amount, and

The correct department or address to which the request should be directed.

Alternatively, if time is not critical, you may choose to submit the letter first and wait for a response, allowing the process to proceed at its natural pace. This can often be a less stressful and equally effective approach when dealing with administrative procedures.