Forsyth County - Birth Certificates, Death Certificates, Marriage Certificates

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

The fee payment is made through Permitium Payments. This is trusted and secure provider for payment services.The charges will show on your credit card statement as 'PermVitalRecs'.

Note: Only vital records issued in Forsyth County can be requested.

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:

Forsyth 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:

Please attach your photo identification

I will mail or fax these documents. We can only accept valid state issued ID. "SELFIES" ARE NOT VALID FORMS OF IDENTIFICATION AND WILL NOT BE ACCEPTED.

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Special Instructions :

Select Delivery Method:

Please select the document delivery method

I will PICK-UP these documents at:

Forsyth County Register of Deeds
201 N Chestnut Street
Winston Salem, NC 27101

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 Forsyth 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:

Please attach your photo identification

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:

Please attach your photo identification

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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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}