Create Request - Birth

WINDOW OVERVIEW:

The Create Request - Birth tab is used to request a birth certificate or verification of birth on the Official Nebraska Government Website for Vital Statistics. You will be able to Search by Name or Search by SSN. To open this website, click the Interface icon on the Person Detail window.

The Interfaces Menu will display.

Select the VS (Vital Statistics) icon.

The Official Government Website for Vital Statistics Records will display.

The following tabs are available from the Verifications and Certificate Requests tab :

  • Request List

  • Create Birth Request

  • Create Death Request

  • Create Marriage Request

  • Create Divorce Request

FIELD DESCRIPTIONS:

Enter Birth Certificate Information

Select Request Type:  Click on the appropriate radio button.

  • NE Verification

  • NE Certified

  • Out of State

Child Box:

First Name:  Enter the child's first name.  This is a required field.

Middle Name:  Enter the child's middle name if they have one.

Last Name:  Enter the child's last name.  This is a required field.

Ext:  Enter the child's name extension if they have one.

Birth Date:  Enter the child's date of birth (MM-DD-YYYY).  This is a required field.  Select the calendar icon to open a calendar of the current month.

City:  Enter the name of the city where the child was born.  This is a required field.

State:  If Out of State is selected enter the name of the state where the child was born.  For Nebraska requests this field is completed.

County:  Enter the county where the child was born.

Father's Name Box:

First Name:  Enter the child's fathers first name.  Required for out of state requests.

Middle Name:  Enter the child's father's middle name if he has one.

Last Name:  Enter the child's fathers last name.  Required for out of state requests.

Ext:  Enter the child's father's name extension if he has one.

Mothers Name Box:

First Name:  Enter the child's mother's first name.  Required for out of state requests.

Middle Name:  Enter the child's mother's middle name if she has one.

Last Name:  Enter the child's mother's last name.  Required for out of state requests.

Ext:  Enter the child's mother's name extension if she has one.

Maiden Name:  Enter the child's mother's maiden name.

ACTION BUTTONS:

For Nebraska Requests
For Nebraska Certified Copies
For Out of State Requests

(11-2007)