APPLICATION FOR CERTIFIED COPY OF BIRTH RECORD
Effective July 1, 2003, California Health and Safety Code Section 103526 changed the way certified copies of birth certificates are issued.
Certified Copies to establish the identity of a registrant can be issued only to authorized individuals, as indicated below. All others will be
issued Certified Informational Copies that are not valid to establish identity.
Fees: $14 per copy (payable to the Butte County Clerk-Recorder).
Please indicate the type of certified copy you are requesting:
I would like a Certified Copy. This copy will establish the identity
of the registrant. (To receive a Certified Copy you must indicate
your relationship to the registrant by selecting from the list below
AND complete the attached Sworn Statement declaring that you
are eligible to receive the Certified Copy. The Sworn Statement
must be notarized if the application is submitted by mail unless
you are a law enforcement or local or state governmental
I would like a Certified Informational Copy. This
document will be printed with a legend on the face of
the document that states, "INFORMATIONAL, NOT A
VALID DOCUMENT TO ESTABLISH IDENTITY."
(A sworn statement does not need to be provided.)
NOTE: Both documents are certified copies of the original document on file with our office. With the exception of the legend, the
documents contain the exact same information.
To receive a Certified Copy I am:
The registrant (person listed on the certificate) or a parent or legal guardian of the registrant.
A party entitled to receive the record as a result of a court order, or an attorney or a licensed adoption agency seeking the birth
record in order to comply with the requirements of Section 3140 or 7603 of the Family Code.
A member of a law enforcement agency or a representative of another governmental agency, as provided by law, who is conducting
official business. (Companies representing a government agency must provide authorization from the government agency.)
A child, grandparent, gra