1 - Requestor Information

What is your full name?*

2 - Birth Record Info

Please enter information for the person listed on the birth certificate (even if ordering your own certificate).

Date of birth*
Gender*
Full birth name (as listed on the certificate)*
Mother's full maiden name (birth name)*
Father's full name

3 - Shipping & Billing

Shipping address*
Billing address*
Is your billing address the same?

4 - Secure Checkout: Texas Birth Certificate Request Service

Processing options

Total Processing: $59.95

Expiration Date

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