Date of Birth (Fecha de nacimiento) Place of Birth (Hospital) City
Birth Certificate Death Certificate
(Certificado de nacimiento)
Cobb County Vital Records Service
1650 County Services Parkway, Marietta, Georgia 30008-4010
This fee for a search of Vital Records has been established by the Department of Community Health as Twemty-five Dollars ($25.00) effective in this County
as of July 1, 2010, in accordance with Section 31-10-27 of the Georgia health Code. The search fee includes a certified copy of the record if found.
Additional full copies issued at the same time are Five Dollars ($5.00) each.
The Search Fee of $25.00 is NON-REFUNDABLE.
REQUEST FOR SEARCH:
Birth Full Name OR Death Name (Nombre completo del nino(a)
Date of Death Place of Death City
Father’s Full Name (Nombre del padre)
Mother’s Full Maiden Name (Nombre de soltera de la madre)
Signature of Applicant (Firma) Relationship
Name
Street
Ci
ty/State/Zip
Phone #
MAILING ADDRESS
IDENTIFICATION SHOWN
VR-07/2010
COBB COUNTY BIRTHS/DEATHS ONLY
FOR OFFICE USE ONLY
Search & Full Copy
Additional Full Copies
@ $5.00 each
TOTAL
$ 25.00
$ _________
$ _________
Registrar Date
Date of Birth (Fecha de nacimiento) Place of Birth (Hospital) City
Birth Certificate Death Certificate
(Certificado de nacimiento)
Cobb County Vital Records Service
1650 County Services Parkway, Marietta, Georgia 30008-4010
This fee for a search of Vital Records has been established by the Department of Community Health as Twemty-five Dollars ($25.00) effective in this County
as of July 1, 2010, in accordance with Section 31-10-27 of the Georgia health Code. The search fee includes a certified copy of the record if found.
Additional full copies issued at the same time are Five Dollars ($5.00) each.
The Search Fee of $25.00 is NON-REFUNDABLE.
REQUEST FOR SEARCH:
Birth Full Name OR Death Name (Nombre completo del nino(a)
Date of Death Place of Death City
Father’s Full Name (Nombre del padre)
Mother’s Full Maiden Name (Nombre de soltera de la madre)
Signature of Applicant (Firma) Relationship
Name
Street
C
ity/State/Zip
Phone #
MAILING ADDRESS
IDENTIFICATION SHOWN
VR-07/2010
COBB COUNTY BIRTHS/DEATHS ONLY
FOR OFFICE USE ONLY
Search & Full Copy
Additional Full Copies
@ $5.00 each
TOTAL
$ 25.00
$ _________
$ _________
Registrar Date
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
