To complete your request for a Texas long form birth or death certificate, we will need the following:

( 1 ) a CLEAR copy of your valid drivers license/government photo ID

( 2 ) Texas DSHS (Vital Statistics) Authorization letter: Click to open & print

Please note it must be notarized and you must send the notarized form to us to proceed.

(3) Texas DSHS (Vital Statistics) Birth Certificate Application:

Please leave Step 1 blank, I will fill that in as your authorized agent.

(4) The following information is needed for a Birth Certificate

A

Full Name at Birth

B

Date of Birth

C

City and County of Birth in Texas

D

Complete Name of Father

E

Complete MAIDEN Name of Mother

(4) The following information is needed for a Death Certificate

A

Full Name at Death

B

Date of Death

C

City and County in Texas of Death

D

Complete Name of Father

E

Complete MAIDEN Name of Mother

F

Deceased Social Security Number

G

Date of Birth

H

Place of Birth

**Adopted Individuals may require additional trips/Pro Courier fees due to the nature of their Certificate.**

**Please confirm with Vital Statistics you are eligible to obtain the desired Certificate for your relative, there are restrictions**

** Please note, if any incorrect information is provided to Pro Courier, it could delay or prevent the purchase of your BC/DC from the Health Dept. If your application is denied all Pro Courier and State charges still apply and additional Pro Courier fees will apply if we must make additional trips to the Health Dept on your behalf**

NO EXCEPTIONS

More information can be found at:

Texas Dept of State Health Services website

Vital Statistics

Texas.gov: Frequently Asked Questions

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