This online form is encrypted and 100% secure. You will need to fill out this form completely. At the bottom of the form there is a continue button to transmit this information to our office. You will get an emailed sales receipt from our office. If there is a problem with your order we will call and/or email you. Your birth certificate will be delivered by FEDEX/UPS or US Mail whichever service you select on the order form below.
* Required Information
** State Fees may appear on your credit card asVCN NETWORK or VCN then the state name or as Bureau of Vital Statistics
*** You must list a physical street address (No APO's, FPO's or PO Boxes) where someone can sign for the certificate if choosing overnight shipping.
Someone must be available to sign for the Federal Express/UPS. If no one is there, Fedex/UPS will leave a note on the door (with a tracking number) to let you know that they have tried to deliver your package. You will need to follow the instructions on the door tag to coordinate delivery of your package.
If you have ordered the passport package please read and follow the instructions on our passport section to be able to complete your passport application once your birth certificate arrives in your hands, it's a 2 step process to get your birth certificate and passport. Please contact us if the certificate does not arrive by the stated process time.
Your privacy is important to us. Click here to read our privacy statement.
If you do not have access to a fax machine or would prefer to mail this order form to our office, please use the address below. If you mail this form and are paying with a money order please call our office so we can inform you of the total for your order.
Attn: Mail in Dept.
2600 South Gessner Rd. Ste 200
Houston, Texas 77063