A written request must be notarized and must include a copy of valid photo identification of the requester. The written request must include:

1. 1. 

   full name of child at birth (plus any adoptive names)

2. 2. 

   date and place of birth

3. 3. 

   names of parents

4. 4. 

   serial number, if known, of the FS-240 (on those issued after November 1, 1990) if known

5. 5. 

   any available passport information

6. 6. 

   signature of requester and

7. 7. 

   notarized affidavit for a replacement FS-240 (if applicable).

NOTE: For Panama Canal Zone (PCZ) birth certificates, just include items (1) through (3).

Make check or bank draft drawn on a bank in the United States, or money order, payable to the "Department of State." The Department will assume no responsibility for cash lost in the mail. Documents will be provided to the person who is the subject of the Report of Birth, the subject’s parents, the subject’s legal guardian, authorized government agency, or a person who submits written authorization from the subject of the Report of Birth.

Birth and Death Certificates:

• •

  $30.00 U.S., first copy;

• •

  $20.00 U.S., each additional copy.