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I would like a Certified Copy
I will be forwarding the Certified Copy for an Apostille Seal
I would like a Certification
Computer-generated copy of original
Digital Image/Photocopy of original
- Select a State -
District of Columbia
Northern Marianas Islands
Type Full Name :
Sign With Hand
(Proof is required for certified copy)
Valid photo driver's license or photo non-driver's license with current address OR valid driver's license without photo and an alternate form of ID with current address OR two (2) alternate forms of ID, one of which must show the current address.
To Request a Certified Copy of a Birth, Marriage, Civil Union, Domestic Partnership or Death Record
Applications filed by mail will require NOTARIZED copies of valid proofs of identity, a completed application and payment of $25.00 for each certified copy requested. Checks or money orders are to be made payable to "Township of South Orange Village." Please include a self-addressed envelope. Copies will be mailed within 24-48 hours from the date of the request.
How would you like to receive the record?
Social Security Disability
Application for a Non-Genealogical Certification or Certified Copy of a Vital Record
Fill in the appropriate tabs that apply to the documents requesting.
Click the 'Select Files' button to attach files.
Please verify what town the event took place in. Certified copies of vital records are provided by the municipality where the event took place. A certification or certified copy of a vital record is available upon application only with proof of identity.
Present your completed application, valid proofs of identity, and payment of $25.00 for each certified copy requested.
Other SS Benefits
You can attach proof of identity to this application. Proof of identify is:
Reason for Request (check all that apply)
A payment of $25.00 is required for each certified copy
If available, I prefer the format of the certified copy to be:
(Must match address on ID)
123 Main Ave
b) the subject's parent, legal guardian or legal representative, or
Alternate forms of ID are: vehicle registration, vehicle insurance card, voter registration, US/foreign passport, permanent resident card (green card), Immigrant Visa, Federal/State ID, county ID, school ID, utility bill (within the previous 90 days), bank statement (within previous 90 days) or W-2/tax return for current or previous year.
Your Town, USA 00000
Social Security Card
e) a bank, title or insurance company requesting a copy of a death certificate for official business.
a) Proof that establishes you, the applicant, as the subject of record, or
* Indicates required field
c) The subject's spouse/civil union partner, domestic partner; child, grandchild or sibling, if of legal age, or
Other (please specify)
Relationship to person on record
d) Court Order, or
Marriage, Civil Union or Domestic Partnership
Father's Name (if on record)
Exact Date of Birth
How was it changed?
Full Name of Child at the time of Birth
Number of copies
Mother's Full Maiden Name
If the child's name was changed please indicate:
Place of Birth (City, Town)
Number of copies
Exact Date of Event
Place of Event (City, Town)
Name of Husband / Partner
Maiden Name of Wife / Partner
Name of Deceased
Name of Deceased Individual's Father
Place of Death (City/Town)
Number of copies
Exact Date of Death
Maiden Name of Deceased Individual's Mother
View / Print
Payments can be made in person or mailed. Checks or money orders are to be made payable to "Borough of Atlantic Highlands".
100 First Avenue,
Atlantic Highlands, NJ 07716
Your application for a Non-Genealogical Certification or Certified Copy of a Vital Record has been submitted.
Application for Non-Genealogical Certification or Certified Copy of a Vital Record
The clerks office is located at:
The reference number for this application is:
You can view and print this application using the button below.
The fee for this application is based on the information provided.