/Tx BMC D. epartment. /Tx BMC 0 g (0) Tj ($0.00) Tj /Tx BMC Applications for certificates requiring an apostille and/or authentication for recognition by foreign governments can only be made by mail or in-person. EMC /Helv 8.207 Tf /Helv 8.207 Tf endstream endobj 1082 0 obj <>/Subtype/Form/Type/XObject>>stream W /Tx BMC EMC ($0.00) Tj /Tx BMC /Tx BMC EMC 19.793 3.5831 Td 2. REVIEW YOUR ORDER . EMC endstream endobj 1086 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 1098 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 1117 0 obj <>/Subtype/Form/Type/XObject>>stream 19.677 3.4757 Td /Tx BMC RECORDS ONLY To obtain an application for either of these services, visit our website or contact us by telephone. City / town of birth * Date of Birth * Name of hospital. endstream endobj 1078 0 obj <>/Metadata 19 0 R/Pages 1075 0 R/StructTreeRoot 30 0 R/Type/Catalog/ViewerPreferences 1143 0 R>> endobj 1079 0 obj <>/MediaBox[0 0 612 792]/Parent 1075 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1080 0 obj <>/Subtype/Form/Type/XObject>>stream EMC Vital . endstream endobj 52 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 1108 0 obj <>/Subtype/Form/Type/XObject>>stream HEALTH . endstream endobj 49 0 obj <>/Subtype/Form/Type/XObject>>stream APPLICATION FOR A FLORIDA BIRTH RECORD (County Health Department Use Only) ... the Affidavit to Release a Birth Certificate must be completed by an authorized person and submitted in addition to this application form. ($0.00) Tj /Tx BMC /Tx BMC 0 g W BT endstream endobj 39 0 obj <>/Subtype/Form/Type/XObject>>stream BT q EMC EMC /Tx BMC Acceptable forms of identification are the following: Driver’s License, State Identification Card, Passport, and/or Military Identification Card. W EMC 0 g 1 1 33.897 11.471 re EMC 1.2 Middle Name at birth. EMC each. EMC County of birth * State File Number (If Known) Birth record information. 3. In addition to the standard fees for certificates, the customer must also submit two (2) separate money orders or cashier's … parent. If not one of the above, you must complete this application and have a notarized Affidavit to Release A Birth Certificate (DH Form 1958, 08/2010) submitted with your application for the birth record along with a copy of the registrant's valid photo identification as well as the applicant's valid photo identification. /Tx BMC ET 413. Florida Birth Certificate replacement Application Form. /Tx BMC B. roward . DH726A Application for Birth Record (Apostille 887K pdf) DH726C Application for Commemorative Birth Record (123K pdf) DH429 Application for an Amended Birth Certificate (English 1.2M pdf) DH429 Application for an Amended Birth Certificate (Spanish 60K pdf) EMC /Tx BMC endstream endobj startxref Q BT EMC ET /Tx BMC /Helv 8.497 Tf EMC h�bbd``b`y$k@D�X#V�X+��Up�J,���u0,�sW�e���� a(6��5 �� q 1 1 34.333 10.124 re Acceptable forms of identification are the following: Driver’s License, State Identification Card, Passport, and/or Military Identification Card. BT Modified on 10 July 2019 . EMC endstream endobj 19 0 obj <> endobj 20 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/XObject<>>>/Rotate 0/Type/Page>> endobj 21 0 obj <>/Subtype/Form/Type/XObject>>stream EMC 0 g EMC /Tx BMC q endstream endobj 22 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC If you are an international student or exchange /Tx BMC n 1 1 42.3085 10.644 re q c1��Y`Y � ����@��D� � … 1 1 34.331 11.08 re endstream endobj 32 0 obj <>/Subtype/Form/Type/XObject>>stream C. ounty. … endstream endobj 37 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 1097 0 obj <>/Subtype/Form/Type/XObject>>stream Birth/Death Certificates 813-307-8002 DLCHD29WebsiteDistribution@flhealth.gov Fax. EMC endstream endobj 47 0 obj <>/Subtype/Form/Type/XObject>>stream q BT APPLICATION FOR FLORIDA BIRTH RECORD . W 0 EMC q endstream endobj 1114 0 obj <>/Subtype/Form/Type/XObject>>stream APPLICATION FOR FLORIDA BIRTH RECORD . W endstream endobj 1113 0 obj <>/ProcSet[/PDF]>>>>stream EMC /Tx BMC APPLICATION FOR A FLORIDA BIRTH RECORD Read the FRONT AND BACK of this application: ... an authorized person and submitted in addition to this application form. endstream endobj 1102 0 obj <>/Subtype/Form/Type/XObject>>stream $24.00 $7.00. /Tx BMC /Helv 8.207 Tf EMC EMC West Palm Beach, FL 33401 . /Tx BMC Office of Vital Statistics 8:00AM-4:30PM. each. endstream endobj 65 0 obj <>stream EMC 1 1 34.768 11.08 re Q endstream endobj 1107 0 obj <>/Subtype/Form/Type/XObject>>stream q 0 /Tx BMC /Tx BMC D8��Dl��@�D�ļ;L�gA�30�#���;����9�! Must include a copy of a valid form … EMC endstream endobj 1126 0 obj <>stream EMC endstream endobj 36 0 obj <>/Subtype/Form/Type/XObject>>stream 18 0 obj <> endobj n /Tx BMC /Tx BMC If not one of the above, you must complete this application and have a notarized Affidavit to Release A Birth Certificate (DH Form 1958, 08/2010) submitted with your application for the birth record along with a copy of the registrant's valid photo identification as well as the applicant's valid photo identification. /Helv 9.5396 Tf 0 g 1 1 42.7451 11.08 re endstream endobj 1096 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 43 0 obj <>/Subtype/Form/Type/XObject>>stream 305-278-1046 WALK-'N ONLY 8:00 AM to 4:30 PM t must ant se . your child), enter their birth information here. EMC 20.09 3.4952 Td W n 1141 0 obj <>/Filter/FlateDecode/ID[<47B6844871BA8F41911D258CFEA5983A>]/Index[1077 155]/Info 1076 0 R/Length 165/Prev 233168/Root 1078 0 R/Size 1232/Type/XRef/W[1 3 1]>>stream /Tx BMC EMC Florida Birth Record Application (Creole) Florida Birth Record Application (E spañol) Florida Birth …