Order Birth Certificates | USVitalRecords.org

Pennsylvania Birth Certificate Order Form

Birth records are available for order through this website for events that occurred in the State of Pennsylvania between 1906 and the present.

ID Requirements must be met before certificate is issued. You will receive an email with instructions on how to send your ID within one week of submitting this application.

Information About The Certificate

City / County of Birth: Please select the city and county of birth for the subject of the certificate.

City of Birth for the Subject *

Other (City Not Listed)

County of Birth for the Subject *

Other (County Not Listed)

Information About The Requestor

IMPORTANT!: The requestor is the person ordering the certificate, not the person named on the certificate. If you are ordering your own certificate, you are both the requestor and the subject. The name of the credit card holder must be the same as the requestor.

First Name *

Middle Name

Current Last Name *

Suffix

Date of Birth & Social Security Number of the Requestor: This is an additional safeguard to protect your identity and the security of the requested certificate.

Month of Birth *

Day of Birth *

Year of Birth *

Important: Valid SSN only, No ITINs permitted. Match the format from "Date of birth & Social security number".

Social Security Number *

Reason for Request *

Relationship To Subject *

Were You Born in Puerto Rico? *

Driver License/ID Number *

State that issued your DL or ID *

Texas DL/ID Card Audit Number *

Information About The Subject Of The Certificate

Name of Subject: The name exactly as it appears on the certificate.

First Name *

Middle Name

Current Last Name *

Maiden Last Name (Subject)

Second Last Name

Suffix

Gender *

Subject Still Living *

Hospital Of Birth *

Parish of Birth

Date of Birth: The exact date of birth of the person listed on the certificate.

Month of Birth *

Day of Birth *

Year of Birth *

Name of Mother: Please enter both the current last name and the maiden last name of the mother."

First Name of Mother *

Middle Name of Mother

Current Last Name of Mother *

Maiden Last Name of Mother *

Last Name at Time of Birth

Name of Father: Select "unknown" If the father is unknown or was not listed on the birth certificate.

Father's Status *

First Name of Father

Middle Name of Father

Last Name of Father

Suffix

Order Information

Delivery Address: If certificate is delivered by UPS, it must be signed for at this address. Certificates delivered by UPS cannot be sent to a P.O. Box.
IMPORTANT! - Per this agency (Pennsylvania Vital Records Section), your order shipping address MUST be same as your home address.

Country *

Delivery Address *

Delivery Address Continued

Town/City *

State/Province *

ZIP/Postal Code *

Telephone & Email Address of the Requestor: ID requirements and other important information will be emailed to you. An incorrect email address will result in delays.

Daytime Telephone Number *

Alternate Telephone Number

Email Address *

Confirm Email Address *

Certified Copy of Pennsylvania Birth Certificate

Select Number of Copies *

Select Processing Service *

Important: 24 hour (M-F) Rush Processing. Does not include ID verification and delivery times. Regular Processing is up to 5 business days.

Select Delivery Method *

Important: *UPS to Alaska, Hawaii or Puerto Rico is $27.00. UPS Canada/Mexico is $28.00. UPS to all international locations is $38.50.
Delivery method and price are subject to change based on delivery location.

Order Summary

Pennsylvania Birth Certificate

Qty: Not specified

Online Processing Fee:

Not specified

Qualifying Review:

Not specified

Shipping Fee:

Not specified

Total:

Not specified

Important: You will be charged $(not specified) when you submit your order. The shipping fee and any State & Agency fees will be charged when the order is processed by the state issuing agency.

Important: The total price will be calculated and shown once all required fields on this order form have been completed.

Card Information - Cardholder Must be the Person Making the Request

Confirm that your name appears on the credit card that you will use for this order

Credit Card Type *

Credit Card Number *

Credit Card Expiry Date *

Credit Card Security Code *

First Name On Credit Card *

Last Name On Credit Card *

Cardholder Email Address *

Verify Request

1. I understand US Vital Records (USVR) offers professional advice and provides support to help eliminate errors when applying for vital certificates. USVR assists in verifying that applications are accurate to avoid delays in processing. USVR is not operated, licensed, or affiliated with any government agency.

2. I understand ID verification must be met before I receive any vital certificate ordered. I understand I will receive an email with instructions on how to send a copy of my government issued picture ID for verification.

3. I accept the Terms of Service, including the refund and cancellation policies.

Type your full name in the field below. Typing your full name constitutes a signature and an agreement that you have read and agreed to all the provisions above. It additionally affirms that all information provided on this order form is complete and accurate and that you are an authorized individual to obtain the requested vital certificate.

Type your full name in the field below to submit your order. *

Pennsylvania Birth Certificate Order Form

ONLINE SERVICE INFORMATION

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$59.87 Online Processing Fee (Initial charge appears on your statement as 'US Vital Records')
$30.00 $20.00 Merchant & State Fee (Secondary charge appears on your statement during processing as VCN Pennsylvania)
$89.87 Total Fee (Additional Copies: $59.87 each)