Edit, Download, and Sign the Maine CDC Application for Birth Certificate
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How do I fill this out?
To fill out this form, begin by entering the child's name after adoption. Next, provide the date of birth, gender, and city or town of birth. Ensure all required fields are completed before submitting the form.

How to fill out the Maine CDC Application for Birth Certificate?
1
Gather all necessary information before starting.
2
Fill in the child’s name, date of birth, and gender.
3
Provide the city or town of birth.
4
Include the adoptive parents' names and year of adoption.
5
Sign and submit the completed form with payment.
Who needs the Maine CDC Application for Birth Certificate?
1
Individuals seeking a copy of their original birth certificate.
2
Adoptive parents needing to access their child's birth records.
3
Legal representatives requiring birth certificates for court cases.
4
Researchers looking into historical birth records.
5
Those applying for government benefits that require proof of birth.
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What are the instructions for submitting this form?
To submit the application for a non-certified birth certificate, fill out the form completely and send it to the Maine CDC at 220 Capitol Street, 11 State House Station, Augusta, Maine 04333-0011. You may also fax your application to (207) 287-1093. For inquiries, you can call (207) 287-3771 or visit the Maine CDC website for further instructions.
What are the important dates for this form in 2024 and 2025?
No specific important dates are mentioned for this form in 2024 and 2025. Always check with the Maine CDC for any updates or changes regarding the application process.

What is the purpose of this form?
The purpose of this form is to facilitate the request for a non-certified original birth certificate from the Maine Center for Disease Control and Prevention. This form enables individuals to obtain their birth records for personal, legal, or genealogical purposes. Proper completion and submission of the form ensure that requests are processed effectively and efficiently.

Tell me about this form and its components and fields line-by-line.

- 1. Child's Name after Adoption: Includes fields for the first, middle, and last names of the child.
- 2. Date of Birth: The date when the child was born, formatted as mm/dd/yyyy.
- 3. Gender: Select whether the child is male or female.
- 4. City/Town of Birth: The place where the child was born.
- 5. Adoptive Parents' Names: Fields for the first, middle, and last names of both adoptive parents.
- 6. Year of Adoption: The year in which the adoption took place.
- 7. Applicant's Name: The name of the individual applying for the birth certificate.
- 8. Mailing Address: Where the Applicant can be reached or where the certificate should be sent.
- 9. Daytime Phone Number: A contact number for any follow-up communication.
- 10. Signature: The applicant's signature to validate the request.
- 11. Notary Public Section: Spaces for notarization if required.
What happens if I fail to submit this form?
If the form is not submitted correctly, your request for a birth certificate may be delayed or denied. It's important to follow all instructions and ensure all required fields are filled out accurately. Contact the Maine CDC for guidance if you encounter issues.
- Incomplete Application: Missing information may prevent processing.
- Incorrect Fees: Failure to submit the correct fee can lead to rejection.
- Lack of Required Documents: Submission without the necessary documents will delay the request.
How do I know when to use this form?

- 1. Identity Verification: To obtain proof of identity for personal use.
- 2. Adoption Records: To access vital records related to an adoption.
- 3. Legal Proceedings: In order to present birth information in court or legal matters.
Frequently Asked Questions
How can I fill out the application?
You can fill out the application online using our PDF editor or print it to complete by hand.
Is there a fee for applying?
Yes, there is a non-refundable fee of $10.00 for the application.
What if I am not 18 years old?
Only individuals who are 18 years or older can apply for a birth certificate.
Can I edit the PDF before submitting?
Yes, our PDF editor allows you to make changes before downloading.
How do I submit the form?
You can submit the form by mail, fax, or in-person at the designated office.
What should I do if I lose my birth certificate?
You can reapply for a copy using this form.
Are there any required documents?
A copy of your current birth certificate must be submitted with the application.
How long does it take to receive my certificate?
Processing times may vary, so please check with the office for specific timelines.
Can I get a certified copy of the birth certificate?
This form provides a non-certified copy, but you can inquire about certified copies separately.
What do I do if my application is denied?
You should contact the office for clarification and next steps.