Birth Certificate Request

Information to Provide for Birth Certificate Request

Please provide the following information with each request for a certified copy of a birth certificate:

  • A letter providing the name and date of birth of each person subject to the request
  • A check or money order in the full amount charged for each certificate; the current charges are $5 for each short form certificate and $7 for each long form certificate. Please do not send cash by mail.
  • A self addressed, pre-stamped envelope with the address of the location where the documents are to be sent; please be sure to provide sufficient postage for requests with multiple documents
  • If you are requesting a birth record for someone other than yourself or your own child[ren], and the record is impounded or cannot be disclosed, you must obtain written authorization from the person granting you permission to obtain their birth record. The statement must be signed by that person and the signature must be notarized. Copies of signatures and/or notarization will not be honored.

Short & Long Form Birth Certificate Request

Please note that a “Short Form Birth Certificate” appears as a document that is approximately the size of an index card. A “Long Form Birth Certificate” is an 8 and a half by 11 size document. Hence, It is strongly recommended that you determine the form necessary for its intended purpose. The city clerk staff is not responsible to determine the form required.

Confidentiality Safety Notice

For your safety and for the protection of sensitive records, the Office of the City Clerk will not respond to requests for specific information regarding any record by telephone, e-mail, or fax. Any special mail arrangements such as overnight mailing, two day mail or return receipt mail must be pre-paid in advance or will otherwise be sent by regular mail. We appreciate your patience and cooperation concerning handling sensitive information.

Check Payment Information

Please make check payable to City Of Lawrence and mail to the City Clerk Office mailing address.

For Additional Information

If you have any question please contact the City Clerk Office.