Request For Birth Certificate

{Your Name}
{Your Address}
{Your Phone Number}

{Name}
{Company}
{Address}

{Date}

Dear {Name},

This letter is intended as a formal request to receive my official birth certificate for the purpose of {purpose}.

My full name is {Name} and I am a {Female/Male}.

I would like to request my:

• Short Form Birth Certificate
• Long Form Birth Certificate (Certified)
• Search Letter

I, the requestor, am the person whose name is on the certificate. Please mail it to the address listed above.

I am enclosing a check for the total payment of {$amount}.

Thank you for your consideration. Please contact me at {phone number} or {email address} if you have any questions.

Sincerely,

{Sender Name}