on the Person Detail window.The Create Request - Birth tab is used to request a birth certificate or verification of birth.
The tab is available on the row of smaller tabs when the Verifications
and Certificate Requests tab has been opened from the Interface icon
on the Person Detail window.
Enter Birth Certificate Information
Select Request Type: Click on the appropriate radio button.
m NE Verification
m NE Certified
m 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.
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For Nebraska Requests |
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For Nebraska Certified Copies |
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For Out of State Requests |
(11-2007)