Franklin County Register of Deeds Vital Records Requests

This is an official request for an aspect of the Franklin County Register of Deeds Vital Record. The information contained in this request should be considered private. Please complete all information in full and then finalize the order process through payment of the 'order fee'.

The fee payment will be paid through Permitium Payments. The charge will show on your credit card statement as 'PermVitalRecs'. This is a secure and trusted provider of payment services.

Please Enter The Full Name On The Birth Certificate:

Last Name: ^{(full name, no initials)}

First Name:

Middle Name:

Suffix:

Information Related To Birth:

Date of Birth:

Confirm Birth Year:

Birth City:

Birth County:

Franklin
I was born in another county.

If you were born PRIOR to 1971 you must order your birth certificate directly from your County Of Birth.

You should NOT request a copy of a birth certificate from the Statewide Birth Certificate Issuance Program if ANY of the following conditions apply:

You do not have the correct facts of birth (correct name, year of birth, and mother's maiden name)

The individual was adopted {Note: Copies of certificates of adoptee should be requested from the State Vital Records Office in Raleigh. Original copies of birth certificates of adoptee are sealed in accordance with state law and cannot be provided to requestors; new copies of adopter's birth certificate are available only to adoptee and their immediate adoptive family members. Copies are not legally availale to birth parents.}

You want an image copy of the complete birth certificate rather than an abstract copy. An abstract copy will show only child's name, gender, date and county of birth, certificate number, parents' names, parents birth dates, parents' birthplaces, date the birth was registered, and date the copy of certificate was issued. {Note: Image copies of birth certificates, which show additional information about the birth (other than medical and health information) should be requested form the State Vital Records Office in Raleigh.}

The individual's birth was registered as a delayed birth registration (more than one year after the date of the birth). {Note: copies of birth certificates of individuals whose births were registered more than one year after the face should be requested from the Vital Records Office in Raleigh or from the appropriate office in the county in which the birth occurred.}

Either of both parents listed on the certificate were born in a country other than the United States, Mexico, Canada, Puerto Rico, Guam, the Virgin Islands or Cuba. {Note: Other countries are not programmed into the database.}

You are not willing to pay $14 to each search performed by the system. (Additional copies of the same certificate are $15 each) {Note: Copies of birth certificates may be obtained for lesser fees from the appropriate office in the county in which the birth occurred, unless the individual was adopted. In that case, North Carolina law stipulates who is legally entitled to a copy of the record (See bullet 2 above).}

By entering the name of the county below and proceeding with the check out, you acknowledge that you understand the facts and conditions stated above.

Out of county document requests will have an additional $14.00 fee.

Birth County:

Birth State:

Parent Names As Listed on Birth Certificate:

Mother's Last Name:

Mother's First Name:

Mother's Middle Name:

Mother's Maiden Name:

Mother's Birth State:

Mother's Birth Country:

Father's Last Name:

Father's First Name:

Father's Middle Name:

Father's Birth State:

Father's Birth Country:

Please Enter The Requestor's Name:

Last Name: ^{(full name, no initials)}

First Name:

Middle Name:

Maiden Name:

Suffix:

Last 4 SSN:

Last 4 SSN: ^(confirm)

Requestor Date of Birth:

Requestor Current Age:

Requestor's Current Residence Address: ^{(this may be different than the mailing address)}

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Requestor's Current Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State: ^(region)

Zip Code: ^{(postal code)}

Country:

Requestor's Contact Telephone Numbers: ^{(###-###-####)}

^Home:

^Work:

^{Cell Phone:}

^Fax:

Updates via Text Message?

Yes No

Requestor's Driver's License: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Requestor's Email:

^Address:

^Confirm:

Special Instructions :

Select Delivery Method:

Please select the document delivery method

I will PICK-UP these documents at:

Franklin County Register of Deeds
113 S. Main St.
Louisburg, NC 27549

Please note that only yourself and the list of individuals below can pick-up your order with proper photo identification.

I would like my document(s) delivered via MAIL.

The individual listed on the Birth Certificate is:

Myself
My Spouse
My Brother / Sister
My Child / Step-child
My Parent / Step-Parent
My Grandparent / Grandchild
Authorized Agent, Attorney
Legal Representative (proof required)

Select The Information Type(s) Requested:

Total Fee:

$0

AUTHORIZATION NOTIFICATION:

My initials below constitute an electronic signature and authorizes the Franklin County Register of Deeds Department of Vital Records to release information and / or my vital record and confirms I have completed all sections accurately and truthfully, including information verifying my identity. I understand that the recipient of the record(s) will use the indicated documents(s) for legitimate interests only and that the information contained therein shall not be further transferred or communicated to any other party or agency without my expressed written consent except under authority of North Carolina General Statutes 130A-26A, and 130A-93.

I have enclosed the correct fees and understand that they are nonrefundable. I understand that an incomplete form will not be processed and will be considered closed after expiration of the 30 day notification window. I declare under penalty of perjury that the foregoing is true and correct.

Coupon Code:

Requestor's Initials:

Clear Form

Online Birth Certificate Request

Please Enter The Full Name On The Birth Certificate:

Information Related To Birth:

Parent Names As Listed on Birth Certificate:

Please Enter The Requestor's Name:

Requestor's Current Residence Address: ^{(this may be different than the mailing address)}

Requestor's Current Mailing Address: ^{(if different from residence address)}

Requestor's Contact Telephone Numbers: ^{(###-###-####)}

Requestor's Driver's License: ^{(or other State Issued ID)}

Requestor's Email:

Select Delivery Method:

Documents Will Be Delivered To: ^{please enter the delivery addresses}

The individual listed on the Birth Certificate is:

Select The Information Type(s) Requested:

Total Fee:

$0

Online Birth Certificate Request

Add An Address

A Shipping Address Is Required!

Please Enter The Full Name On The Birth Certificate:

Information Related To Birth:

Parent Names As Listed on Birth Certificate:

Please Enter The Requestor's Name:

Requestor's Current Residence Address: (this may be different than the mailing address)

Requestor's Current Mailing Address: (if different from residence address)

Requestor's Contact Telephone Numbers: (###-###-####)

Requestor's Driver's License: (or other State Issued ID)

Requestor's Email:

Select Delivery Method:

Documents Will Be Delivered To: please enter the delivery addresses

The individual listed on the Birth Certificate is:

Select The Information Type(s) Requested:

Total Fee:

$0

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You are about to submit an order with a Coupon Code.

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Requestor's Current Residence Address: ^{(this may be different than the mailing address)}

Requestor's Current Mailing Address: ^{(if different from residence address)}

Requestor's Contact Telephone Numbers: ^{(###-###-####)}

Requestor's Driver's License: ^{(or other State Issued ID)}

Documents Will Be Delivered To: ^{please enter the delivery addresses}