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Ohio’s Online Certificate Application
Step 1 - Enter Birth Certificate and Contact Information
(Directions)
  • You can only order birth records for an individual born in Ohio.
  • You must be ordering a record that is to be delivered within the US, to US territories or US commonwealths.
  • Full legal name and birth date must be known.
  • You must have a valid credit card (American Express, Discover, MasterCard or Visa).
 
Input fields with an
*
 are required.
Name on Birth Certificate
* First Name : Middle Name :
*Last Name : Suffix :
* Birth Date :
/ /
(mm/dd/yyyy)  		State of Birth : Ohio
* City of Birth : * Gender :  
OR      
* County of Birth : * Still Living :
Name of Mother
* First Name : Middle Name :
* Last Name Prior to Marriage :    
Name of Father (Please leave information blank and check box if father is unlisted on the record)
* First Name : Middle Name :
* Last Name : Suffix :
Mailing Address (Must be the same as the billing address on credit card)
* Address 1 : Address 2 :
* City : * State :
* Zip Code :
Applicant Information
* First Name : Middle Name :
* Last Name : Suffix :
Contact Information
* Phone : ( ) * Email :
 
Input fields with an
*
 are required.
The
$21.50
  certified copy fee includes the search to locate the record as well as one certified copy. If a copy
of your birth record cannot be located using the information provided on this application, a certified copy of a
'No Record Letter' will be sent and a refund for
$21.50
  will be processed in the form of a check back to the requestor.
 
# of copies of a certified birth record [ ] x
$21.50
 =
Total Amount Due