ONTARIO CERTIFIED COPY OF BIRTH REGISTRATION (LONG FORM) REQUEST SERVICE ORDER

TERMS OF SERVICE

Total fee for our application services is $ 35.50 CDN and DOES NOT include Canadian Government fees. The SEPARATE government fees will have to be paid separately by you AFTER the application is sent to the Ontario Government. These fees are: 1) First Time Long Form-Certified Copy $ 35 CDN, 2) Replacement Long Form Certified Copy $ 45 CDN.
Not everyone may apply/obtain a certified copy of a birth registration in Ontario. Generally, the following requirements have to be met: 1) MAY APPLY ONLY the person named on the certificate, the mother or father, children or spouse of such person in the certificate or a guardian, trustee or person with power of attorney of such person in the certificate or any person with an order from a court; 2) If the PERSON NAMED ON THE CERTIFICATE wants to apply her/himself, she/he must be 13 years of age or older.
The government will send you your certificate by post to the address provided by you in this form. Although times vary, depending on the government work overloads, ESTIMATE times go from 17 to 19 days IF ALL THE INFORMATION PROVIDED BY YOU IS ACCURATE AND MATCHES THE BIRTH REGISTRATION. These estimate times run from the date application is presented to the government. CERTIFICATES OF BABIES AND NEWBORNS REQUIRE THAT YOU HAVE PREVIOUSLY REGISTERED THE BIRTH AND THE TIME FOR THE DELIVERY IS FROM 10 TO 16 WEEKS AFTER THE BIRTH WAS PROPERLY REGISTERED (AND THE STATEMENT OF LIVE BIRTH WAS PROPERLY PRESENTED TO THE GOVERNMENT)

We are not a Government Agency. We provide our valuable application preparation and submission services for an extra fee.

Elección del tipo de partida o certificado:

Type of certificate:

Person requesting the certificate:

Given Name

Last Name

Street Address

City

Province

Postal Code

Telephone

Email

Credit Card Number (to pay the separate government fee) (Enter number without spaces or dashes)

Credit Card Expiration Date (MM/YY)

Specifical reason why you are requesting the certificate

Your relationship to the person on the certificate

About the person named on the certificate:

Gender

Female

Male

Given Name (s)

Surname at BIRTH

Date of Birth (MM/DD/YYYY)

Place of Birth** Only cities or towns in Ontario

Were did the birth took place ?

Hospital

Home

Birthing Center

Other

If Hospital, Birthing Center or Other, please enter the full name. If Home, please enter NA

If known, please enter the name of the physician who attended the birth

Mother's Given Name (s)

Mother's Last Name at BIRTH (NOT the MARRIED last name)

Mother's Date of Birth (MM/DD/YYYY)

Mother's Place, Province and Country of Birth

Mother's full address at the time of birth (at least City, Province and Country, no zip code needed)

Mother's marital status at the time of children's birth

Father's Given Name (s)

Father's Surname at BIRTH

Father's Date of Birth (MM/DD/YYYY)

Father's Place, Province and Country of Birth

Has a Birth Certificate (Short Form) been previously issued for this birth?

Yes

No

Has a certified copy of Birth Registration (Long Form) been previously issued for this birth ?

Yes

No

Has the person named on the Birth Certificate ever had a legal name change?

Yes

No

Guarantor's Information: (THIS SECTION MUST BE FILLED OUT . YOU MUST ASK THE GUARANTOR HIS/HER PERMISSION TO PROVIDE HIS/HER INFORMATION)

Guarantor's Given Name(s)

Guarantor's Last Name

Occupation

***GUARANTOR CANNOT BE RETIRED

Name of Firm or Organization where Guarantor works (if applicable)

Work Telephone Number

Home Telephone Number

Street Address

City

Province

Postal Code

For how many years have you known the Guarantor? (you have to know him for at least TWO YEARS)

(Information that you enter on this page is 100% secure. this form has data encryption with 128 BIT SSL certificate.) Also, all information provided in this page is protected by our Privacy Policy.

I declare that I have read and understood terms of service as described in:
www.applicationservices.info/canadaterms.htm

I expressly authorize applicationservices.info to "type in" the information provided in this form in the applicable electronic or PDF government forms in order to request this birth certificate.