Order Hawaii | USVitalRecords.org

Hawaii Order Form

s are available for order from this website for events that occurred within the State of Hawaii. Birth records are not available until 90 days after the date of the event.

ID Requirements must be met before certificate is issued. You will receive an email with your completed application and customized instructions providing all the information you need to know about submitting photocopies of your ID with your application.

Items with an * asterisk are required fields.

Birth information of the Person on Record

City/Island of Birth: Please select the exact city and island of birth for the subject of the certificate.

City of Birth for the Subject

City is required

Island of Birth for the Subject

County is required

Date of Birth: The exact date of birth of the person listed on the certificate.

Subject's Date of Birth (MM-DD-YYYY)

Subject Date of Birth is required

Click the MM-DD-YYYY field to open the calendar. Click on THE YEAR to type the correct year. Use the arrows to navigate to the month and then select the day.

Gender

Subject Gender is required

Information About the Requestor

IMPORTANT: The requestor is the person ordering the certificate, not the person named on the certificate. If you are ordering your own certificate, you are both the requestor and the subject. The name of the credit card holder must be the same as the requestor.

First Name of Requestor

First Name is required

Middle Name of Requestor

Last Name of Requestor

Last Name is required

Phone Number

Invalid phone number

Business Phone Number

Email Address

Email Address is required

Confirm Email Address

Confirmation Email Address is required and must match Email Address

Your Relationship with the Person on Record

Information: If you are not named on the record you may be required to provide proof of Relationship, Entitlement, and/or Court Documents.

Important: The relationship selected must match your relationship to the subject exactly

Relationship To Subject

Relationship required

Reason for Request

Request reason required

Other Reason

Other reason required

Full name of the Person on Record

ADOPTED? Please visit our FAQ section for important information.

Name of Subject: The name exactly as it appears on the certificate.

First Name of Subject

Subject First Name is required

Middle Name of Subject

Subject Middle Name is required

Last Name on Certificate

Subject Last Name is required

Suffix

Mother/Parent's Full Name

First Name of Mother

Mother's First Name is required

Middle Name of Mother

Last Name of Mother

Mother's Last Name is required

Maiden Last Name of Mother

Mother's Maiden Name is required

Father/Parent's Full Name

First Name of Father

Father's First Name is required

Middle Name of Father

Last Name of Father

Father's Last Name is required

Maiden Last Name of Father

Suffix

Delivery Information

IMPORTANT: The delivery address must match the requestor's ID.

Shipping Address Type

Invalid Shipping Address Type

Address Line 1

Delivery Address Line 1 is required

Unable to deliver to PO Box if UPS is selected as a shipping option

Address Line 2

Unable to deliver to PO Box if UPS is selected as a delivery option

City

Invalid City selection

State

Invalid State selection

International State/Province

International State/Province is required

APO/FPO

Invalid APO/FPO selection

Zip/Postal Code

Zip/Postal Code is required

Country

Invalid Country

Billing Address

Same as Delivery Address

Billing Address Type

Invalid Billing Address Type

First Name

First Name is required

Last Name

Last Name is required

Address Line 1

Billing Address Line 1 is required

Address Line 2

City

Invalid City selection

State

Invalid State selection

International State/Province

International State/Province is required

APO/FPO

Invalid APO/FPO selection

Zip/Postal Code

Zip/Postal Code is required

Country

Invalid Country

Certified Copy of Hawaii - $125.00 Application Order Completion Fee

Number of Copies

Number of Copies is required

Qualifying Review

Processing Service is required

Important: Does not include ID verification and delivery times

Hawaii State & Agency Fee

$12.50 per certificate ($4.00 each additional certificate)

Important: State and Agency Fees are subject to change. All processing and delivery times are not guaranteed and may change without notice.

Credit Card Details

Credit Card Number

Credit Card Number is required

Credit Card Expiry Date (MM/YY)

Credit Card Expiration is required

Credit Card Security Code

Credit Card Security Code is required

Important: This is a 3-digit code on the back for Visa, Mastercard, and Discover, and a 4-digit code on the front for American Express cards.

Order Summary

Hawaii

Qty: Not specified

Online Processing Fee:

Not specified

Qualifying Review:

Not specified

American Express/Discover Discount

Not specified

Total:

Not specified

IMPORTANT: You will be charged $(not specified) when you submit your order. There is an additional Hawaii State & Agency fee of $12.50 for the first certificate ($4.00 each additional certificate) when you file your application with the state.

IMPORTANT: The total price will be calculated and shown once all required fields on this order form have been completed.

Verify Order

1. I understand US Vital Records (USVR) offers professional advice and provides support to help eliminate errors when applying for vital certificates. USVR assists in verifying that applications are accurate to avoid delays in processing. USVR is not operated, licensed, or affiliated with any government agency.

2. I understand ID verification must be met before I receive any vital certificate. I understand I will receive an email with my customized package from USVR with instructions on how to send a copy of my government issued ID for verification. I understand this package will include my completed birth certificate application.

3. I accept the Terms of Service, including the refund and cancellation policies.

Type your full name in the field below. Typing your full name constitutes a signature and an agreement that you have read and agreed to all the provisions above. It additionally affirms that all information provided on this order form is complete and accurate and that you are an authorized individual to obtain the requested vital certificate.

Type your full name in the field below to submit your order.

Signature is required

Possible Issues Detected

Hi there! You are seeing this message because our system detected one or more potential issues with your submission. Please review each issue below and make any necessary corrections. Once you are satisfied with your submission, you may continue by submitting the form again.

Mother maiden name is the same as father's last name. If this is correct, then please ignore this warning.

The Subject's maiden name is different than their last name. If this is correct, then please ignore this warning.

The Subject's maiden name is different than either parent's last name. If this is correct, then please ignore this warning.

Mother maiden name is the same as last name. If this is correct, then please ignore this warning.

Before submitting your order, please take a moment to review your information.
Incorrect information provided will lead to delays and could possibly cancel your order.

Hawaii Order Form

Possible Issues Detected

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