Edit, Download, and Sign the Affidavit to Release Birth Certificate in Florida
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How do I fill this out?
To fill out the affidavit, start by providing your name and the child's details as specified. Next, indicate your eligibility and select the appropriate checkbox. Make sure to obtain notarization of your signature before submitting the form.

How to fill out the Affidavit to Release Birth Certificate in Florida?
1
Fill in your personal information at the top of the form.
2
Indicate the child’s name as mentioned on the birth certificate.
3
Choose the eligibility option that applies to you.
4
Sign the affidavit in front of a Notary Public.
5
Attach a valid photo ID and submit the completed form.
Who needs the Affidavit to Release Birth Certificate in Florida?
1
Parents requesting their child's birth certificate.
2
Legal guardians needing access to the birth record.
3
Individuals seeking a birth certificate for legal purposes.
4
Legal representatives involved in the process.
5
Anyone authorized to obtain a birth certificate on behalf of the eligible person.
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What are the instructions for submitting this form?
Submit the completed Affidavit to the Florida Department of Health, Bureau of Vital Statistics. You may send this via mail to P.O. Box 210, Jacksonville, FL 32231-0042, or deliver it in person at 1217 North Pearl Street, Jacksonville, FL 32202. Include all necessary documents and IDs with your submission for processing.
What are the important dates for this form in 2024 and 2025?
The form is valid as of January 2022 and should be submitted anytime you need to authorize a birth certificate release. Check for updates or changes to regulations in early 2024 and 2025 for any amendments.

What is the purpose of this form?
The Affidavit to Release Birth Certificate serves as a legal document that allows designated individuals to request a copy of a birth certificate. It ensures that sensitive information is protected while granting rightful access to eligible parties. This form is essential for maintaining the integrity of vital records access in Florida.

Tell me about this form and its components and fields line-by-line.

- 1. Name of eligible person: Full name of the individual completing the affidavit.
- 2. Child's name: Name of the child whose birth certificate is being requested.
- 3. Eligibility checkbox: Options to select regarding the eligibility of the requester.
- 4. Signature: Legal signature of the eligible person.
- 5. Notary Public fields: Details related to the notarization of the affidavit.
What happens if I fail to submit this form?
Failure to submit this form correctly can result in delays in obtaining the birth certificate. If the form is incomplete or lacks proper identification, your request may be denied. Additionally, incorrect notarization may require resubmission.
- Incomplete Information: Missing details may lead to rejection of the application.
- Improper Eligibility: Failure to satisfy eligibility criteria can prevent access.
- No Notarization: Without a notarized signature, the affidavit is invalid.
- Lack of ID: Absence of valid photo IDs can result in denial.
- Incorrect Submission: Improperly submitted forms can cause delays.
How do I know when to use this form?

- 1. Requesting a Birth Certificate: Use when needing to obtain a certified copy of a birth certificate.
- 2. Legal Representation: Required when acting on behalf of a parent or guardian.
- 3. Verification Processes: Necessary for legal verification involving birth records.
Frequently Asked Questions
Who can use the Affidavit to Release Birth Certificate?
This affidavit can be used by parents, legal guardians, or legal representatives of the eligible person.
What specific information do I need to fill in?
Ensure to fill in personal details such as your name, the child's name, and the reason for the request.
Is notarization required?
Yes, you must have the affidavit signed in the presence of a Notary Public.
What identification is needed for this process?
You need to provide valid photo identification for both the authorized person and the recipient.
How do I submit the completed form?
You can submit the form by mailing it to the Bureau of Vital Statistics address provided.
Can I edit this PDF online?
Absolutely, you can edit the PDF directly on PrintFriendly before downloading.
What if I make an error while filling it out?
You can easily revise any mistakes during the editing process on PrintFriendly.
How can I share the completed form?
After editing, use PrintFriendly’s sharing options to send the document via email or link.
Is there a cost associated with obtaining the birth certificate?
Yes, there may be fees involved in requesting the birth certificate.
How do I download the PDF after editing?
Once you are done, simply click the download button to save your edited PDF.
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