U.S Birth Certificate . Net
You cannot order over the phone and nothing is trasmitted online so please follow the steps below
Step1. You must type & print out order form below (USE CAPITAL LETTERS )
Step2. Make a lightened black & white copy of your driver's license or your state Id card & enlarge 200%.(If unavailable click back to the state of your birth to see special instructions)
Step3. Sign all forms in black ink in all places.(NOTE: 2 signatures on our forms )
Step4. Fax all pages of the order forms and Photo ID to 713-974-6884 or 713-974-2221.
Step5. Call our Fax Verification line a few minutes after you fax your information to verify that we have received all of your paperwork and everything is in order at 800-856-2526 (not a fax # )
Note:. If you were born in California or Pennsylvania. Please click back on your browser to get required addional State forms or on the State of Birth drop down list below & print (see below) (Note: 2 signatures for California forms & the Sworn statement must be notarized) Disable Pop up softwae to get forms and state fees with special instructions.
Fees: ** State Fee(which includes Fedex return delivery): vary from $24 and up Plus Our Service Fee: $45.00
The current state fees and process times are available if you click on the State of your birth drop down below.
Certified Birth Certificate Request
(Last 3 digits on the back of your credit card for Visa/Mast/Dis.or 4 on front of Amex) CVC-Code
Credit Card Number: Expires
Certificate Holders Name at Birth: (If adopted use adopted name and adopted parents names .)

(First)(Middle)(Last)
Fathers Name:
(First)(Middle)( Last)
Mother's Full Maiden Name: Maiden Last Name
(First) (Middle)( Maiden Last Name)
Certificate Holders Birth Date(MM/DD/YYYY) State of Birth
County or Borough of Birth City of Birth
*Adopted or Legal Name Change excluding Marriage Sex: of Certificate Holder    
Relathionship to certificate holder Is Certificate Holder Still Living ?
Person making this request Birth Date(MM/DD/YYYY)
Person making this request complete Social Security # Number of Copies
Hospital: Reason for request
Ship Method: UPS       Date of departure(If Needed for Travel):
Ship to Name:
Ship to Address:***
CityState:: Zip:
Daytime Telephone #  () -  -E-xtension:
Alternate Telephone #  () -  - E-Mail
Applicant's Signature:_____________________________ Date:

I authorize USBirthcertificate.Net to obtain my birth certificate for me. By signing the form above I agree that I have read the order form completly and if the information that you have provided is incorrect, insufficient, or the government agency has no record of the birth that there are no refunds of USBirthcertificate.net's services fees for any reason . (We don't create, change or ammend birth records. We only retrieve existing records.) We cannot obtain birth certificates for Connecticut , New Mexico. or the Phillipines.

ADDITIONAL OPTIONS: (Some options are required for California please read below)
Please charge me "total service fee $155" for our regular passport and birth certificate processing fee
To process or for questions see below or visit our passport section for additional instructions on passport processing.(Please note these fees don't include the government fee for processing a passport.)
Emergency Processing (Regular fee plus additional fee of $25.00)
Same Day Processing Available for (Regular fee plus additional fee of $45)
California Walkthrough service, All fees including Our fee, State fee, & FedEx is $149
(Required for all California Adoptions, Name Changes on the birth certificate (other than by marriage) & all others born in the California Counties of Colusa, Kings, Nevada, Madera, San Bernadino, San Francisco, San Benito, and Yolo) All fees including Our fee, State fee, & FedEx is $149.) (Note: Expect delays after 8/1/08 budget cuts & 10/3/08 Executive decision please read important information on California main page.)

Yes I would like my passport processed along with the Calornia Walkthrough service for an additional $110 on top of the California Walkthrough fee for a total fee of $259 To process or for questions see below or visit our passport section for additional instructions on passport processing
All Sales Final, Once a job is received by our office it can't be cancelled
***You must list a physical street address (No APO's , FPO's or PO Boxes) where someone can sign for the certificate. Please read the information on credit cards below..
You must contact us if the certificate does not arrive by the stated process time unless
it is a same-day processing .
** State Fees may appearr on your credit card asVCN NETWORK, or VCN then State Name Or as
Bureau of Vital Statistics
If you will not be at your shipping address to sign for the overnight courier package when
it arrives, then you will need to leave a note at the address stating to please leave the package
at your door or wherever you specify then print and sign your name.I understand that US Birth
Certificate .Net is not rersponsible for any service performed by an overnight courier service.

Is the credit card in your name?
If creditcard holder is different from applicant please also fax a photo ID.
Name of Card Holder:

Signature of card holder:_____________________________________Date:
I authorize a charge to my credit card for the birth certificate request of (Certificate Holders name)

by US Birth Certificate. Net & the State of your birth.**

Credit Card Billing Address and phone number
if different from shipping address:


CityState:
Zip:Phone
Please fax all pages of order form, and photo id of both the certificate holder
(if not a minor) and the credit card holder (if different from certificate holder )
...........................................
Toll Free Customer Service: 888-736-2692
Local Customer Service: 713-974-1645
Fax: 713-974-2221 or 713-974-6884
Fax Verification (not for customer service): 800-856-2526
Email: info@usbirthcertificate.net
...........................................

Your privacy is important to us. Click here to read our privacy policy.

Procedure for obtaining a passport and birth certificate: (If you are just getting a Birth Certificate please ignore these instructions listed below ):

Step 1: Follow instructions above or on our order form for a birth certificate, print, sign and fax it to us with a copy of your drivers license.

Step 2: Wait for your certificate to arrive, read and follow instructions on our passport website in the meantime by printing the passport requirement page and getting all requirements together.

Step 3: Once your birth certificate arrives and you have all the passport requirenments in front of you, call our office and let us verify that you have all the passport requirements then take all needed documents to your local acceptance agent (post office or county clerk to be sworn in and seal up all documents in a government sealed envelope).

Step 4: Federal Express two things to us: Sealed Envelope and our passport Order form.