Request for Certified Copy of a Birth Certificate:

I AM APPLYING FOR THE ABOVE DOCUMENT (AS CHECKED) CONCERNING THE FOLLOWING PERSON:

INFORMATION ON ABOVE PERSON'S FAMILY

  • You are the registrant, and you are 18 years of age or older.
  • You are the parent, gaurdian, grandparent, or spouse of the registrant.
  • You are the child or grandchild of the registrant, annd you are 18 years of age or older.
  • You are an attorney-at-law representing the registrant's parent, guardian, child, or surviving spouse.
  • You are a state or federal agency employee and have an authorized release from the registrant who is 18 years of age or older.
  • You are the Local Director of Health of the town/city where the birth occurred or where the mother was a resident at the time of the birth.
  • You are the chief elected offical of the town/city where the birth occurred.
  • You are a member of an incorporated genealogical society authorized to conduct business in the State of Connecticut. (Please visit CSL History and Genealogy Unity website for more information)

 

Files must be less than 2 MB.
Allowed file types: pdf doc docx.