Certified Copy Application for Birth Death Records
This file provides guidelines for obtaining certified copies of birth and death certificates in Louisiana. It includes the necessary application form and detailed instructions for successful submission. Users can find information on fees and acceptable payment methods.
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How do I fill this out?
To fill out this form, start by providing the requisite personal details of the individual for whom the record is being requested. Ensure to specify whether you need a birth or death certificate and the number of copies. Carefully check all information filled in before submitting your application.

How to fill out the Certified Copy Application for Birth Death Records?
1
Begin by entering the individual's information accurately.
2
Select the type of certificate you need (birth or death).
3
Specify the number of copies being requested.
4
Include payment details according to the instructions.
5
Sign the form and include your identification as required.
Who needs the Certified Copy Application for Birth Death Records?
1
Parents requiring a birth certificate for their child for school enrollment.
2
Spouses applying for a death certificate to settle estate matters.
3
Genealogists researching family lineage using historic birth and death records.
4
Individuals needing identification for legal processes.
5
Healthcare providers requiring proof of birth or death for records.
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What are the instructions for submitting this form?
To submit this form, complete all sections accurately and sign where indicated. Include payment made via check or money order payable to Louisiana Vital Records. Mail your completed application to Bureau of Vital Records and Statistics, P.O. Box 60630, New Orleans, LA 70160, and ensure all required documentation, including your identification, is included with your submission.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates associated with this form; however, it is advisable to submit your application early if you have upcoming legal or personal deadlines in 2024 and 2025.

What is the purpose of this form?
This form serves as an application to request certified copies of birth and death certificates in Louisiana. It is crucial for individuals requiring vital records for legal, personal, or genealogical reasons. By filling out this application accurately, consumers can ensure they receive the required documentation promptly.

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

- 1. First Name: The first name of the individual whose certificate is being requested.
- 2. Last Name: The last name of the individual whose certificate is being requested.
- 3. Date of Birth/Death: The date when the individual was born or passed away.
- 4. City of Birth/Death: The city where the individual was born or died.
- 5. Mother's Maiden Name: The full maiden name of the individual's mother before marriage.
- 6. Applicant Information: Details of the person making the request including their relationship to the individual.
- 7. Payment Details: Instructions for payments including the fees and acceptable methods.
What happens if I fail to submit this form?
If you fail to submit this form correctly, your application will be returned for completion. This may delay the processing of your request. Ensure all parts are filled out accurately to avoid any issues.
- Incomplete Application: If any field is left blank or not properly completed, your submission may be delayed.
- Incorrect Payment: Submitting the wrong payment amount will result in return of your application.
- Lack of Identification: Failure to include an acceptable form of ID will cause your application to be rejected.
How do I know when to use this form?

- 1. Legal Identification: Needed to obtain state-issued IDs or licenses.
- 2. Genealogical Research: For those conducting research on family history.
- 3. Estate Settlement: Required during the processing of a deceased's estate.
Frequently Asked Questions
How do I obtain a certified copy of a birth certificate?
You can submit this application form to request certified copies of birth certificates along with the required fees.
What fees are associated with this application?
Each birth certificate costs $15, and additional state charges may apply for mail orders.
Can I apply for a death certificate online?
This form must be completed and submitted via mail; online submissions are not currently accepted.
What identification do I need to provide?
A government-issued photo ID is required along with the application.
How long does it take to receive the certificate?
Processing times vary, but you will be notified if no record is found.
Can I request multiple copies with one application?
Yes, you can request multiple copies as specified on the application.
Is there a charge if my record is not found?
Yes, the search fee will be retained if no record is found.
What is the mailing address for submissions?
Applications should be mailed to Bureau of Vital Records and Statistics, P.O. Box 60630, New Orleans, LA 70160.
Do I need to include a payment with my application?
Yes, all mail order payments must be made via check or money order payable to Louisiana Vital Records.
Are there different fees for fetal death certificates?
Yes, a fetal death certificate has a separate fee of $24.
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