Request for Certified Copy of Birth Certificate
Name on the Birth Certificate
First Name _____________________________Middle Name____________________________
Last Name ____________________________________________________________________
Date of Birth ___________________________
# of Copies Requested _____________ $ Amount Enclosed __________________
$25 for 1
$ 5 for each additional copy of the same record
Requesters Information
Full Name _____________________________________________________________________
Relationship to Registrant _______________________________ Phone # __________________
o Legible Copy of Valid Photo ID
o Documents to prove relationship to Registrant, if applicable
o Money order (No personal checks accepted)
o Self-Addressed Stamped Envelope
Mail the Request to:
Camden County Probate Court
PO Box 818
Woodbine, GA 31569