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Application Form Birth Certificate Please

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NEW YORK STATE DEPARTMENT OF HEALTH Mail-in …

www.health.ny.gov

• Complete a separate application for each record requested. • Use this application to mail your request. • Use this application if you are the person named on the birth certificate or if you are that person’s parent. • Use this application if the birth

  Health, York, Department, States, Birth, Applications, Certificate, Birth certificate, New york state department of health

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