DeKalb County Board of Health Birth Certificate Order Form


ACCESSING A BIRTH CERTIFICATE



Birth certificates are available for Georgia births from 1919 to the present. Access to a birth record is limited to:



  • The person named on the certificate.

  • A parent named on the certificate.

  • A grandparent of the person named on the certificate.

  • An adult sibling of the person named on the certificate.

  • An adult child of the person named on the certificate.

  • The spouse of the person named on the certificate.

  • The legal guardian of the person named on the certificate.

  • The legal representative of the person named on the certificate.

  • An individual empowered by statute or appointed by a court to act on the person's behalf.






PROVIDING INFORMATION



You will be required to enter the following information about the person whose birth certificate you are requesting:


  • First name.

  • Last name.

  • Month, day and year of birth.

  • Mother's first name.

  • Mother's maiden last name.






PROVIDING DOCUMENTATION



You will be required to upload a copy of your official photo identification (ID) as a pdf, jpg, jpeg or png file.

The following are official photo IDs:


  • State of Georgia driver's license.

  • Photo ID card issued by a government agency.

  • Photo ID card issued by an employer.

  • Photo ID card issued by a college or university.

  • Resident Alien Card (Form I-551 issued by the U.S. Citizenship and Immigration Services).

  • Temporary Resident Alien Card (Form I-668 issued by the U.S. Citizenship and Immigration Services).

  • Government passport issued by a country.

  • Military ID card issued by the U.S. Armed Forces.

  • Matricula card.





SWORN STATEMENT



A SWORN STATEMENT IS REQUIRED FROM ONLINE, EMAIL, MAIL AND FAX CUSTOMERS



If you are ordering a birth certificate online or by email, mail or fax, you must submit a sworn statement with the order form.



CLICK HERE TO DOWNLOAD THE SWORN STATEMENT.



AN ADDITIONAL DOCUMENT MAY BE REQUIRED

If you are ordering the birth certificate of a person other than yourself or your child, an additional document is required. See the table below.

The document must be a pdf, jpg, jpeg or png file.

If your relationship
to the person
named on the certificate is . . .
You must provide . . .
A grandparentThe birth certificate of your child who is the parent of the person
A sibling
(age 18 or over)
Your birth certificate showing at least one parent in common with the person
A child
(age 18 or over)
Your birth certificate showing the person is your parent
The spouseYour marriage license, a notarized letter of permission or a notarized power of attorney
The temporary or permanent legal guardianA court order or other legal documentation proving custody
The attorney serving as a temporary or permanent legal representativeA letter on your law firm’s letterhead stating that you have been retained to serve as the person’s legal representative
The individual or agency representative empowered by statute or appointed by a court to act on the person’s behalf A court order or other legal documentation proving representative status




PURCHASING A BIRTH CERTIFICATE




Georgia law requires payment before a service can be provided.

The fee for a birth record search is $25.

If the record is found, the first copy of the certificate is free.

Additional copies can be ordered at the same time for $5 each.

A $5 handling and processing fee will be charged to this order.

Certificates are sent via the U.S. Postal Service by first class mail.

All fees are NON-REFUNDABLE.

*All payments will be processed through PayPal. PayPal accepts all major credit cards.*



SYSTEM REQUIREMENTS



Do not view this form using Internet Explorer. Please use Chrome or another browser to process your online order.


AGREEING TO TERMS
By checking the box below, you agree to provide the required documentation and payment described above.
You confirm that the documentation you use to identify yourself is yours.
Under Georgia law, it is a felony to use someone else's identity (see O.C.G.A. 16-9-120 through 16-9-127).
You understand that there are non-refundable fees for the record search and for the processing fee.
CONFIRMING A BIRTH IN GEORGIA

Check this box to confirm that the birth certificate you are requesting is for a birth that occurred in the state of Georgia.
CHECKING FOR REQUIRED INFORMATION

Check each of the following to confirm that you have the required information about the person named on the certificate.
PROVIDING YOUR OFFICIAL PHOTO IDENTIFICATION

Check the box below to confirm that you are providing a proper, legal form of identification to verify your identity.

PROVIDING YOUR INFORMATION

Please provide the following information about you, the person requesting the certificate.
Your first name
Your last name
Your street address or P.O. box
City
State
  • - select an option -
  • AL
  • AK
  • AR
  • CA
  • CO
  • CT
  • DE
  • DC
  • FL
  • GA
  • HI
  • ID
  • IL
  • IN
  • IA
  • KS
  • KY
  • LA
  • ME
  • MD
  • MA
  • MI
  • MN
  • MS
  • MO
  • MT
  • NE
  • NV
  • NH
  • NJ
  • NM
  • NY
  • NC
  • ND
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VT
  • VA
  • WA
  • WV
  • WI
  • WY
ZIP code
Confirm shipping address
Is the above address your shipping address?
Please provide your shipping address
Your shipping address or P.O. box
City
State
  • - select an option -
  • AL
  • AK
  • AR
  • CA
  • CO
  • CT
  • DE
  • DC
  • FL
  • GA
  • HI
  • ID
  • IL
  • IN
  • IA
  • KS
  • KY
  • LA
  • ME
  • MD
  • MA
  • MI
  • MN
  • MS
  • MO
  • MT
  • NE
  • NV
  • NH
  • NJ
  • NM
  • NY
  • NC
  • ND
  • OH
  • OK
  • OR
  • PA
  • RI
  • SC
  • SD
  • TN
  • TX
  • UT
  • VT
  • VA
  • WA
  • WV
  • WI
  • WY
ZIP code
Your email address
Your phone number
Your relationship to the person named on the certificate
  • - select an option -
  • Self
  • Parent named on the certificate
  • Grandparent
  • Sibling (age 18 or older)
  • Child (age 18 or older)
  • Spouse
  • Temporary or permanent legal guardian
  • Temporary or permanent legal representative
  • Individual or agency representative empowered by statute or appointed by a court to act on the person’s behalf
  • Legal guardian
  • Legal representative
  • Individual empowered by statue or appointed by a court to act on the person's behalf
Upload your official photo identification

Please upload your official photo ID here.
Upload your ID

UPLOADING YOUR OFFICIAL PHOTO IDENTIFICATION



Upload a copy of your official photo identification (ID) as a pdf, jpg, jpeg or png file.



The following are official photo IDs:


  • State of Georgia driver’s license.

  • Photo ID card issued by a government agency.

  • Photo ID card issued by an employer.

  • Photo ID card issued by a college or university.

  • Resident Alien Card (Form I-551 issued by the U.S. Citizenship and Immigration Services).

  • Temporary Resident Alien Card (Form I-668 issued by the U.S. Citizenship and Immigration Services).

  • Government passport issued by a country.

  • Military ID card issued by the U.S. Armed Forces.

  • Matricula card.





If you do not have an official photo ID, upload a notarized letter verifying your identity.


Upload your sworn statement

Please upload your sworn statement document here.
Upload your sworn statement



UPLOADING AN ADDITIONAL DOCUMENT, IF REQUIRED



If you are ordering the birth certificate of a person other than yourself or your child, an additional document is required. See the table below. The document must be a pdf, jpg, jpeg or png file.



If your relationship
to the person
named on the certificate is . . .
You must provide . . .
A grandparentThe birth certificate of your child who is the parent of the person
A sibling
(age 18 or over)
Your birth certificate showing at least one parent in common with the person
A child
(age 18 or over)
Your birth certificate showing the person is your parent
The spouseYour marriage license, a notarized letter of permission or a notarized power of attorney
The temporary or permanent legal guardianA court order or other legal documentation proving custody
The attorney serving as a temporary or permanent legal representativeA letter on your law firm’s letterhead stating that you have been retained to serve as the person’s legal representative
The individual or agency representative empowered by statute or appointed by a court to act on the person’s behalf A court order or other legal documentation proving representative status

Upload your additional document, if required

Please upload your additional document here.
Upload your document

REQUESTING A BIRTH CERTIFICATE


Please provide the following information about the person named on the birth certificate.
First name
Last name
Date of birth
The birth must have occurred at least 4 weeks prior to today. If the birth occurred more recently, please allow at least 4 weeks from the birth date before requesting a certificate.
Mother's first name
Mother's maiden last name
Hospital where birth occurred (if applicable)
County where birth occurred
  • - select an option -
  • Appling County
  • Atkinson County
  • Bacon County
  • Baker County
  • Baldwin County
  • Banks County
  • Barrow County
  • Bartow County
  • Ben Hill County
  • Berrien County
  • Bibb County
  • Bleckley County
  • Brantley County
  • Brooks County
  • Bryan County
  • Bullock County
  • Burke County
  • Butts County
  • Calhoun County
  • Camden County
  • Candler County
  • Carroll County
  • Catoosa County
  • Charlton County
  • Chatham County
  • Chattahoochee County
  • Chattooga County
  • Cherokee County
  • Clarke County
  • Clay County
  • Clayton County
  • Clinch County
  • Cobb County
  • Coffee County
  • Colquitt County
  • Columbia County
  • Cook County
  • Coweta County
  • Crawford County
  • Crisp County
  • Dade County
  • Dawson County
  • Decatur County
  • DeKalb County
  • Dodge County
  • Dooly County
  • Dougherty County
  • Douglas Cuonty
  • Early County
  • Echols County
  • Effingham County
  • Elbert County
  • Emanuel County
  • evans County
  • Fannin County
  • Fayette County
  • Floyd County
  • Forsyth County
  • Franklin County
  • Fulton County
  • Gilmer county
  • Glascock County
  • Glynn County
  • Gordon County
  • Grady County
  • Greene County
  • Gwinnett County
  • Habersham County
  • Hall County
  • Hancock County
  • Haralson County
  • Harris County
  • Hart County
  • Heard County
  • Henry County
  • Houston County
  • Irwin County
  • Jackson County
  • Jasper County
  • Jeff Davis County
  • Jefferson County
  • Jenkins County
  • Johnson County
  • Jones County
  • Lamar County
  • Lanier County
  • Laurens County
  • Lee County
  • Lincoln County
  • Long County
  • Lowndes County
  • Lumpkin County
  • Macon County
  • Madison County
  • Marion County
  • McDuffie County
  • McIntosh County
  • Meriwether County
  • Miller county
  • Mitchell County
  • Monroe County
  • Montgomery County
  • Morgan County
  • Murray County
  • Muscogee County
  • Newton County
  • Oconee County
  • Oglethorpe County
  • Paulding County
  • Peach County
  • Pickens County
  • Pierce County
  • Pike County
  • Polk County
  • Pulaski County
  • Putnam County
  • Quitman County
  • Rabun County
  • Randolph County
  • Richmond County
  • Rockdale County
  • Schley County
  • Screven County
  • Seminole County
  • Spalding County
  • Stephens County
  • Stewart County
  • Sumter County
  • Talbot County
  • Taliaferro County
  • Tattnal County
  • Taylor County
  • Telfair County
  • Terrell County
  • Thomas County
  • Tift County
  • Toombs County
  • Towns County
  • Treutlen County
  • Troup County
  • Turner County
  • Twiggs County
  • Union County
  • Upson County
  • Walker County
  • Walton County
  • Ware County
  • Warren County
  • Washington County
  • Wayne County
  • Webster County
  • Wheeler County
  • White County
  • Whitfield County
  • Wilcox County
  • Wilkes County
  • Wilkinson County
  • Worth County
Father's first name
Father's last name
Additional Copies

Number of additional copies needed. A record search and first copy are $25. Each additional copy is $5. The maximum copies that can be ordered is 15.
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