Vital Records - Certificate Requests
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Division of Public Health Vital Records
APPLICATION FOR CERTIFIED COPY OF BIRTH CERTIFICATE
The Office of Vital Records has been registering births for persons born in Nebraska since
1904
.
WARNING
Please view Nebraska Revised Statutes (Section 71-649) before requesting a record. It is a felony to obtain, possess, use, sell, furnish, or attempt to obtain any vital record for purposes of deception.
Your Information:
Your name must match ID name
First Name
Middle Name
Last Name
Suffix
Daytime Phone Number
Email Address
Physical Address
Address Line 1
Address Line 2
City
State
Zip Code
Shipping Address
Address Line 1
Address Line 2
PO Box
City
State
Zip Code
A copy of your current Government Issued ID is required to continue with this application.*
Please review the acceptable forms of documents here:
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