COMMEMORATIVE BIRTH CERTIFICATE
Download APPLICATION FOR COMMEMORATIVE
BIRTH CERTIFICATE
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The State of Maryland offers a specially designed Commemorative Birth
Certificate for any person born in Maryland. This legal document
is a unique keepsake that can be used to celebrate a birth or honor
a life. The Certificate is prepared on heirloom-quality paper
and features hand calligraphy, an embossed official seal, the signature
of Governor Martin O’Malley, a quotation from Maryland poet Sister
Maura Eichner and a colorful border that includes two Maryland symbols—the
Blacked Eyed Susan and the Baltimore Checkerspot Butterfly.
State law requires that a birth certificate be issued only to the person
named on the record, a parent, legal guardian, or an authorized representative
having a notarized letter of authorization from any of the individuals
named above.
To apply for a Commemorative Birth Certificate, you must present a
valid, unexpired, government-issued photo ID displaying a date issued
and an expiration date. Applicants unable to supply valid photo
ID must present two (2) different items of alternative documentation. Acceptable
alternative documents include a pay stub, current car registration,
bank statement, letter from a government agency, lease/rental agreement,
utility bill with current address, or copy of an income tax return
or W-2 form. At least one of these documents must contain the
applicant’s current mailing address.
The fee for each Commemorative Birth Certificate is $30.00, of which
$15.00 is tax deductible. If the requested birth certificate
cannot be found, $18.00 will be refunded along with a Certificate of
No Record; a $12.00 search fee must be retained as required by Maryland
Law.
If you wish to order a Commemorative Birth Certificate by
mail, please send a completed application, photocopy of required identification,
and the required fee (check or money order) payable to the Division
of Vital Records to:
Division of Vital Records
Maryland Department of Health & Mental Hygiene
6550 Reisterstown Road
Baltimore, Maryland 21215
A portion of the funds collected from the sale of each Commemorative
Birth Certificate will be paid into the Children’s Trust Fund
to provide funding for the Child Abuse and Neglect Centers of Excellence
Initiative. This initiative supports programs and activities
for the education, prevention and treatment of child abuse and neglect. For
more information on the Children’s Trust Fund or the Child Abuse
and Neglect Centers of Excellence Initiative, please contact Christine
Evans at the Department’s Center for Maternal and Child Health
at clevans@dhmh.state.md.us.
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