Vital Registrar

Office of the City Secretary

Application for Birth Certificate

WARNING: IT IS A FELONY TO FALSIFY INFORMATION ON THIS DOCUMENT. THE PENALTY FOR KNOWINGLY MAKING A FALSE STATEMENT ON THIS FORM OR SIGNING A FORM WHICH CONTAINS A FALSE STATEMENT IS TWO TO TEN YEARS IMPRISONMENT AND A FINE UP TO $10,000. (HEALTH & SAFETY CODE, CHAPTER 195, SEC. 195.003)

We can only issue a long form birth certificate for births that occurred within the city limits of Temple, Texas. We can issue a short form birth certificate for anyone born in the State of Texas. For a long form birth certificate born outside of Temple, Texas, please contact the County in which you were born. For out of State births, please contact the state in which you were born.

Who can request records?

The person named on the vital record, his/her immediate family members (either by blood, marriage, or adoption), his/her guardian, or his/her legal agent/representative can request a certified copy of that vital record.

An immediate family member is defined as any of the following:

child

parent/guardian

brother/sister

grandparent

spouse

All other applicants must provide legal documentation (such as a court order establishing guardianship, an insurance policy listing the applicant as the beneficiary, etc.) that documents a direct, tangible interest in the birth or death certificate. If this is the case, please upload the required document with proof of ID at the end of this application.

For full details, see Persons Qualified to Request Records.

Please attach your photo identification. Failure to upload a valid ID will result in the request being declined. (NO EXCEPTIONS)

We can only accept valid government-issued identification as follows:

current US State driver's license, federal or state issued photo ID card, valid US passport or military ID card.

Please Note: State-issued identification must be current and not expired. If you do not have a valid ID listed above, please see Acceptable Identification for a list of other proof documents you can upload.

Please Note: For identification purposes, the ID that is uploaded here must be the same name as the requestor.

In addition, please upload any other proof that may be needed in order to verify you are a qualified person to request a birth certificate. Please see PERSON QUALIFIED TO RECEIVE A BIRTH CERTIFICATE section above for more information.

Birth Certificates can be picked up in person at our Office located inside City Hall, 2 N Main St, Temple, Texas 76701.

Office Hours are M-F, 8 am-4:30 pm.

Birth Certificates can also be mailed via USPS. We also offer overnight shipping via Fed-Ex or UPS. Please note, you are required to pay for the shipping label as well as upload it to this application.

All records will mail out the following business day, including overnight shipping. Pick-up orders will be ready same day if ordered before 12 pm. This office is NOT responsible for misdirected or lost mail.

Please note that only the requestor can pick up the record in person and must also be the person to whom the record is mailed to.

By typing my name below, I agree that it constitutes an electronic signature and authorizes the City of Temple to release information and / or my vital record and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other party or agency without my expressed written consent. I understand the penalty for knowingly making false statements on this form is a third-degree felony and may be punishable with up to 2 - 10 years in prison and a fine of up to $10,000 Health and Safety Code of Texas, Chapter 195, Sec. 195.003.

I have enclosed the correct fees and understand that they are nonrefundable. I understand that an incomplete form will not be processed and will be considered closed after expiration of the 30 day notification window. I declare under penalty of perjury that the foregoing is true and correct.

Name on Credit Card must match the name of requestor on this application or you must upload the DLs of the credit card user, if using a a card other than your own. This service may require information verification. Any falsification of information or incorrect information will result in a denial of your application or your request.