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Birth Certificate

If parents were not married at the time of birth, please send copy of photo ID to Cityclerk@cityofhaverhill.com

Price$15.00

Quantity

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Record Information:Name on Record*

sm_tbcfC94543Name on Record is required.

Date of Birth*?

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Mother's Maiden Name*

sm_tbcfC94545Mother's Maiden Name is required.

Father's Name*

sm_tbcfC94546Father's Name is required.

Send To:Name*

sm_tbcfC94548Name is required.

Street Address*

sm_tbcfC94549Street Address is required.

City/Town*

sm_tbcfC94550City/Town is required.

State*

sm_tbcfC94551State is required.

Zip Code*?

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Contact Phone Number*?

sm_tbcfC94553Contact Phone Number is required.

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