Birth Certificate Request

WINDOW OVERVIEW:

The Birth Certificate Request window is accessed under the New Request tab within Vital Records. You need to fill out the information on the window and click submit to request a birth certificate. After the request is submitted, you can track the request within the Requests tab.

See Also:

Vital Records - New Request

Request Details

FIELD DESCRIPTIONS:

Request Type:Click on the appropriate radio button.

  • NE Verification

  • NE Certified

  • Out of State

Child Box:

First Name:Enter the child's first name. This is a required field.

Middle Name:Enter the child's middle name if they have one.

Last Name:Enter the child's last name. This is a required field.

Ext:  Enter the child's name extension if they have one.

Birth Date:Enter the child's date of birth (MM-DD-YYYY). This is a required field. Select the calendar icon to open a calendar of the current month.

City:Enter the name of the city where the child was born. This is a required field.

State:  If Out of State is selected enter the name of the state where the child was born.  For Nebraska requests this field is completed.

County:  Enter the county where the child was born.

Foreign Country:  Enter the foreign country where the child was born if out of state and applicable.

Father Box:

First Name:Enter the child's fathers first name. Required for out of state requests.

Middle Name:Enter the child's father's middle name if he has one.

Last Name:Enter the child's fathers last name. Required for out of state requests.

Ext:Enter the child's father's name extension if he has one.

Mother Box:

First Name:Enter the child's mother's first name. Required for out of state requests.

Middle Name:Enter the child's mother's middle name if she has one.

Last Name:Enter the child's mother's last name. Required for out of state requests.

Ext:Enter the child's mother's name extension if she has one.

Maiden Name:Enter the child's mother's maiden name.

ACTION BUTTONS:

Select the Cancel button to cancel the certificate request.
Select the Submit button to submit the certificate request.

(06-2026)