Application For A Birth Record

City of Royal Oak

$15 for 1st copy - $5 for each additional copy of the same record

**To protect you from identity theft, we require a copy of valid photo identification i.e. driver's license or state identification to be uploaded with this form. Once your application has been submitted, our office will verify the documents you've provided. Once approved you will receive an email that will direct you to our payment portal to make your payment. Birth records purchased online may be paid with Visa, MasterCard or Discover Card.**

Birth records are mailed standard USPS mail.

Full name as it appears on record

Number of copies

Requestors Information

Your Name

Phone Number

Relationship to person named on record

Street Address

City

State

Zip Code

Upload Photo ID

Click Here to Upload

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I understand that misstating an identity or assuming the identity of another person is a crime. By entering my full name in the space provided above and transmitting this form electronically I state that I am the person named on the record or one of the parents named on the record that is being requested; in placing my name in the signature box below I am certifying that the information provided in this web application is complete and accurate; and I understand that the inclusion of false information in this application will subject me to the penalties of Michigan Compiled Laws 333.2894(b) and 333.2898, as well as, federal laws relating to falsification in obtaining a birth record.