New Jersey Order Form

s are available for order from this website for events that occurred within the State of New Jersey. Birth records are not available until 90 days after the date of the event or older than 80 years.

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/County of Birth:  Please select the exact city and county of birth for the subject of the certificate.

City is required
County is required

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

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.

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 is required
Last Name is required
Invalid phone number
Email Address is required
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 required
Request reason required

Full name of the Person on Record

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

Subject First Name is required
Subject Middle Name is required
Subject Last Name is required
Legal name change answer is required
New First Name is required
New Last Name is required

Mother/Parent's Full Name
Mother's First Name is required
Mother's Maiden Name is required

Father/Parent's Full Name
Father's First Name is required
Father's Last Name is required
Delivery Information

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

Delivery Address Line 1 is required
Unable to deliver to PO Box if UPS is selected as a shipping option
Unable to deliver to PO Box if UPS is selected as a delivery option
Invalid City selection
Invalid State selection
Zip/Postal Code is required
Billing Address
First Name is required
Last Name is required
Billing Address Line 1 is required
Invalid City selection
Invalid State selection
Zip/Postal Code is required
Certified Copy of New Jersey - $125.00 Application Order Completion Fee
Number of Copies is required
Processing Service is required

Important:  Does not include ID verification and delivery times

$25.00 per certificate ($2.00 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 is required
Credit card icon Credit card icon Credit card icon Credit card icon Credit card icon Credit card icon
Credit Card Expiration is required
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
New Jersey
Qty: Not specified
Online Processing Fee:
Not specified
Qualifying Review:
Not specified
American Express/Discover Discount
Not specified
IMPORTANT:  You will be charged $(not specified) when you submit your order. There is an additional New Jersey State & Agency fee of $25.00 for the first certificate ($2.00 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.

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.

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.