EAP Adirondack Employee Assistance Program
Program Director Susan K. McManus, LCSW, smcmanus@adkeap.com
559 Glen Street Glens Falls, NY 12801
(518) 793-9768 -Phone / (518) 793-9772 _Fax
www.adkeap.com
*Helps employees and employers when mental health, substance use, physical health etcetera affect the ability to work
Social Security Administration
67 Warren St Ste 1, Glens Falls, NY 12801
(877) 405-4875 -Phone / 1-833-902-2542
SSA.gov, www.socialsercurity.gov
1-800-772-1213 -National Phone
*Phone or in-person appointments, walk-ins are now available
* Must attend alone or with one person who is helping
*Busiest time: First thing in the morning, early in the week, beginning of the month
*Masks required
Hours: Monday, Tuesday, Thursday, Friday: 9am-4pm, Wednesday: 9am-Noon
Social Security Card:
- Social Security office: 67 Warren St Suite 1, Glens Falls, NY 12801
- Mail documents: Cannot be emailed or faxed
- (877) 405-4875 Extension: 0 -Phone (LINE WILL GO SILENT… WAIT)
- Mail either identification with application Social Security Application
- Health Insurance Card (Not a copy, they will mail it back to you)
- Doctor note: Letterhead, Client name, Date of birth, Statement is patient within last 2 years, signature of office staff (Cannot be an electronic signature or a stamp)
- Will not accept prison ID
- If you are deaf or hard of hearing, call 1-800-325-0778, between 8:00 a.m. and 5:30 p.m. Monday through Friday.
- Online: https://www.ssa.gov, create an account and request a new card
Unemployment
ID.me is very difficult to use to upload documents. There are no navigators specifically to help with unemployment. Try the below agencies:
LEAP– (Formerly the EOC) Washington County: (518)746-2391
*Mon-Fri 8am-4pm, by appointment only
Warren County Department of Labor/ One-Stop Career:
(518) 743-0925 -Phone
*Leave a voicemail, they can sometimes help, they refer people to The Crandall Library (They can help by providing a computer only)
Washington County LEAP
Employment and Training Assistant Director Roberta Davis, roberta.davis@leapservices.org
383 Broadway Fort Edward, NY 12828
(518) 746-2391 Ext: 6 -Phone / (518) 746-2392 -Fax
SAIL Southern Adirondack Independent Living
71 Glenwood Avenue Queensbury, NY 12804
(518) 792-3537- Phone / (518) 792-0979- Fax
Elizabeth Cox, Independent Living Specialist, Ext.1135, ElizabethC@sailhelps.org
Raekiko Johnson, Independent Living Specialist, Ext.1103, RaekikoJ@sailhelps.org
Get a Care Coordinator to help:
AHI Adirondack Health Institute:
101 Ridge St., Glens Falls, NY 12801
1-866-708-2912 Courtnie Palmer/ (518)480-0111 – Phone / (518) 615-1220- Fax
Replacement COVID Vaccination Card:
From NY state: If someone is missing their vaccination card and cannot go back to the facility they received it at (ie jails or mass pop up vaccination sites), they can email NYS through nysiis@health.ny.gov. A full name and a date of birth will be able to generate an immunization record. It will have the COVID vaccination on it. They cannot get an actual replacement COVID card, however.
Replacement ID or Driver’s License: fill out application and mail to the DMV in your county
- https://transact3.dmv.ny.gov/photodocduplicate/index.cfm?t=9999388
- You will need a social security card
- Warren County DMV: (518) 761-6438, NEW COVID -19 HOURS: Monday – Friday 8:15 – 3:30, except legal holidays, https://warrencountyny.gov › clerk › dmv
Washington County DMV: (518) 746-2163 Ext 3, NEW COVID -19 HOURS: Monday – Friday 8:45am-4pm, except legal holidays, https://dmv.ny.gov/office/fort-edward
Replacement Birth Certificate: Call the town hall where you were born, can be down online, see below
ALABAMA
Website: https://www.alabamapublichealth.gov/vitalrecords/birth-certificates.html
Form: https://www.alabamapublichealth.gov/vitalrecords/assets/hs14eng.pdf
Make Payable To: STATE BOARD OF HEALTH
Mail to: Alabama Vital Records
PO Box 5625
Montgomery, Alabama 36103-5625
Fee: $15.00
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ALASKA
Website: http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx
Form: http://dhss.alaska.gov/dph/VitalStats/Documents/birth/birth_form.pdf
Make Payable To: ALASKA VITAL RECORDS OFFICE
Mail To: Alaska Health Analytics & Vital Records
PO Box 110675
Juneau, Alaska 99801
Fee: $30
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ARIZONA
Website: https://www.azdhs.gov/licensing/vital-records/index.php#birth-certificates-apply
Form: https://www.azdhs.gov/documents/licensing/vital-records/application-certificate-birth.pdf
Government Agency form: https://www.azdhs.gov/documents/licensing/vital-records/government-request-form-non-state.pdf
Make Payable to: Office of Vital Records
Mail To: Bureau of Vital Records
PO Box 6018
Phoenix, AZ 85005
Fee: $20
ARKANSAS
Website: https://www.healthy.arkansas.gov/programs-services/topics/order-birth-records
Make Payable to: Arkansas Department of Health
Mail to: Arkansas Department of Health
Vital Records, Slot 44
4815 West Markham Street
Little Rock, AR 72205
Fee: $12
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CALIFORNIA
Website: https://www.cdph.ca.gov/Programs/CHSI/Pages/Birth-Mail.aspx
Form: https://www.cdph.ca.gov/cdph%20document%20library/controlledforms/vs111.pdf
Make Payable to: CDPH- Vital Records
Mail to: California Department of Public Health
Vital Records- MS 5103
PO Box 997410
Sacramento, CA 95899-7410
Fee:$25
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COLORADO
Website: https://cdphe.colorado.gov/birth-certificates
Form:
Make Payable to:
Mail to: Colorado Department of Public Health and Environment
Vital Records Section
4300 Cherry Creek Drive South
Denver, CO 80246
Fee: $
https://cdphe.colorado.gov/order-a-birth-certificate website to get to form, when form is clicked on I get blocked
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CONNECTICUT
Website: https://portal.ct.gov/DPH/Vital-Records/Birth-Certificates
Form: https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/hisr/VR/Birth-Certificate-Request-Form_-State-5-19.pdf (State form)
Make Payable to: Treasurer, State of CT
Mail to: CT Department of Public Health
State Vital Records Office
410 Capitol Avenue, 1st Floor
Hartford, CT 06106
Fee: $30- State issued
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DELAWARE
Website: https://www.dhss.delaware.gov/dhss/dph/ss/vitalstats.html
Form: https://www.dhss.delaware.gov/dhss/dph/ss/files/birth.pdf
Make Payable to: Office of Vital Statistics
Mail To: Office Of Vital Statistics
Jesse S Copper Bldg.
417 Federal Street
Dover, DE 19901
Fee: $25
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FLORIDA
Website: http://www.floridahealth.gov/certificates/certificates/birth/index.html
Form: http://www.floridahealth.gov/certificates/certificates/_documents/dh726-birth-app-7-2016.pdf
Affidavit to release birth certificate: http://www.floridahealth.gov/certificates/certificates/birth/_documents/DH1958-AffidavitToReleaseBC-enterable.pdf
Make Payable to: Vital Statistics
Mail To: Department of Health
Office of Vital Statistics
ATTN: Vital Records Section
P O Box 210
Jacksonville, FL 32231-0042
Fee: $9
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GEORGIA
Website: https://dph.georgia.gov/ways-request-vital-record/birth
Form:file:///C:/Users/53a858/Downloads/Request%20For%20Search%20of%20Birth%20(Form%203918).pdf
Make Payable to: State Office of Vital Records
Mail To: State Office of Vital Records
1680 Phoenix Blvd Suite 100
Atlanta, GA 30349
Fee: $25
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HAWAII
Website: https://health.hawaii.gov/vitalrecords/birth-marriage-certificates/
Form: https://health.hawaii.gov/vitalrecords/files/2018/02/birth-revised-2018.pdf
Make Payable to: Hawaii State Department of Health
Mail To: State Department of Health
Office of Health Status Monitoring
Issuance/Vital Statistics Section
PO Box 3378
Honolulu, HI 96801
Fee: $10 / $12.50 with portal administrative fee
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IDAHO
Make Payable to: Idaho Vital Records
Mail to: Idaho Bureau of Vital Records and Health Statistics
PO Box 83720
Boise, ID 83720-0036
Fee: $16
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ILLINOIS
Make Payable to: Illinois Department of Public Health
Mail To: Illinois Department of Public Health
Division of Vital Records
925 E Ridgely Ave-2737
Springfield, Illinois 62702
Fee: $15
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INDIANA
Website: https://www.in.gov/isdh/26791.htm
Form: file:///C:/Users/53a858/Downloads/49607%20fill-in.pdf
Make Payable to: Indiana State Department of Health
Mail To: Indiana State Department of Health
Vital Records Division
2 North Meridian Street
Indianapolis, IN 46204
Fee: $10
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IOWA
Website: https://idph.iowa.gov/health-statistics/request-record
Form: https://idph.iowa.gov/Portals/1/userfiles/68/Forms/app_certified_copies_generic-20200101.pdf
Make Payable to: Iowa Department of Public Health
Mail To: Iowa Department of Public Health
Bureau of Health Statistics
Lucas State Office Building, 1st Floor
321 E 12th Street
Des Moines, Iowa 50319-0075
Fee: $15
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KANSAS
Website: https://www.kdheks.gov/vital/birth_howto_regular_mail.html
Form: https://www.kdheks.gov/vital/download/birth_fillable.pdf
Make Payable to: Kansas Vital Statistics
Mail To: Office of Vital Statistics
Curtis State Office Building
1000 SW Jackson, Suite 120
Topeka, KS 66612-2221
Fee: $ 15
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KENTUCKY
Website: https://chfs.ky.gov/agencies/dph/dehp/vsb/Pages/birth-certificates.aspx
Form: https://chfs.ky.gov/agencies/dph/dehp/vsb/Forms/VS37BirthApp.pdf
Make Payable to: Kentucky State Treasurer
Mail To: Office of Vital Statistics
275 East Main St, 1E-A
Frankfort, KY 40621
Fee: $ 10
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LOUISIANA
Website: https://ldh.la.gov/index.cfm/page/635
Form: https://ldh.la.gov/assets/oph/Center-RS/vitalrec/Birth_DeathOrderingPacket.pdf
Make Payable to: Louisiana Vital Records
Mail To: Vital Records Registry
PO Box 60630
New Orleans, LA 70160
Fee: $ 15
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MAINE
Website: https://www.maine.gov/dhhs/mecdc/public-health-systems/data-research/vital-records/order/index.shtml
Make Payable to: Treasurer-State of Maine
Mail to: Vital Records
11 State House Station
220 Capitol Street
Augusta, ME 04333-0011
Fee: $ 15
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MARYLAND
Website: https://health.maryland.gov/vsa/Pages/birth.aspx
Form: https://health.maryland.gov/vsa/Documents/Certificates/Birth/birth%20cert%20appl_20170627.pdf
Make Payable To: Division of Vital Records
Mail To: Division of Vital Records
PO Box 68760
Baltimore, MD 21215-0036
Fee: $ 10
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MASSACHUSETTS
Website: https://www.mass.gov/how-to/order-a-birth-marriage-or-death-certificate
Form: https://www.mass.gov/files/2017-08/mail-order-form.pdf
Make Payable to: Commonwealth of Massachusetts
Mail to: Registry of Vital Records and Statistics
150 Mt Vernon St
1st Floor
Dorchester, MA 02125
Fee: $ 32
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MICHIGAN
Website: https://www.michigan.gov/mdhhs/0,5885,7-339-71551_4645_4702—,00.html
Form: https://www.michigan.gov/documents/birthapp_6360_7.PDF
Make Payable to: State of Michigan
Mail to: Vital Records Requests
PO Box 30721
Lansing, MI 48909
Fee: $ 34
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MINNESOTA
Website: https://www.health.state.mn.us/people/vitalrecords/birth.html
Form: https://www.health.state.mn.us/people/vitalrecords/docs/bcappia.pdf
Make Payable to: Minnesota Department of Health
Mail to: Minnesota Department of Health
Office of Vital Records
PO Box 64499
St Paul, MN 55164-0499
Fee: $ 26
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MISSISSIPPI
Website: https://msdh.ms.gov/msdhsite/_static/31,1240,109,62.html
Form: https://msdh.ms.gov/phs/forms/Form%20522E_201701.pdf
Make Payable to: Mississippi Vital Records
Mail To: Mississippi Vital Records
PO Box 1700
Jackson, MS 39215-1700
Fee: $ 17
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MISSOURI
Website: https://health.mo.gov/data/vitalrecords/obtain-vital-record.php#obtain
Form: https://health.mo.gov/data/vitalrecords/pdf/birthdeath.pdf
Make Payable to: Missouri Department of Health and Senior Services
Mail to: Missouri Department of Health and Senior Services
Bureau of Vital Records
930 Wildwood Drive
Jefferson City, MO 65109
Fee: $ 15
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MONTANA
Website: https://dphhs.mt.gov/vitalrecords
Form: https://dphhs.mt.gov/Portals/85/Statistics/documents/VitalStats/BirthApplication.pdf
Make Payable to: Montana Vital Records
Mail to: Office of Vital Records
Department of Public Health and Human Services
111 N Sanders Rm 6
P O Box 4210
Helena, MT 59604
Fee: $ 12
NEBRASKA
Website: http://dhhs.ne.gov/Pages/vital-records.aspx
Form: http://dhhs.ne.gov/Vital%20Records%20Documents/BirthCertificateApplication.pdf
Make Payable to: Vital Records
Mail To: Nebraska Vital Records
PO Box 95065
Lincoln, Nebraska 68509-5065
Fee: $ 17
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NEVADA
Website: http://dpbh.nv.gov/Programs/BirthDeath/Birth_and_Death_Vital_Records_-_Home/
Make Payable to: Office of Vital Records
Mail To: Office of Vital Records
4150 Technology Way, Suite 104
Carson City, Nevada 89706
Fee: $ 25
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NEW HAMPSHIRE
Website: https://sos.nh.gov/archives-vital-records-records-management/vital-records/request-for-certificates/
Form: https://sos.nh.gov/media/3ktptr0w/vr201.pdf
Make Payable to: Treasurer- State of New Hampshire
Mail To: NH Department of State
Division of Vital Records Administration
Registration/Certification
9 Ratification Way
Concord, NH 03301-2410
Fee: $ 15
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NEW JERSEY
Website: https://www.state.nj.us/health/vital/order-vital/
Form: https://www.nj.gov/health/forms/reg-27a.pdf
Make Payable to: Treasurer, State of NJ
Mail to: New Jersey Department of Health
Vital Statistics and Registry
PO Box 370
Trenton, NJ 08625-0370
Fee: $ 25
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NEW MEXICO
Website: https://www.nmhealth.org/about/erd/bvrhs/vrp/
Form: https://www.nmhealth.org/publication/view/form/607/
Make Payable to: New Mexico Vital Records
Mail to: New Mexico Department of Health
Bureau of Vital Records and Health Statistics
PO Box 25767
Albuquerque, NM 87125
Fee: $ 10
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NEW YORK
Website: https://www.health.ny.gov/vital_records/birth.htm
Form: https://www.health.ny.gov/forms/doh-4380.pdf
Make Payable to: NYS Department of Health
Mail to: New York State Department of Health
Vital Records Certification Unit
PO Box 2602
Albany, NY 12220-2602
Fee: $ 30
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NEW YORK CITY
Website: https://www1.nyc.gov/site/doh/services/birth-certificates.page
Form: https://www1.nyc.gov/assets/doh/downloads/pdf/vr/birth1.pdf
Make Payable to: NYC Department of Health and Mental Hygiene
Mail to: Office of Vital Records
125 Worth Street, CN-4, Room 133
New York, NY 10013-4090
Fee: $ 15
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NORTH CAROLINA
Website: https://vitalrecords.nc.gov/order.htm
Form: https://vitalrecords.nc.gov/documents/ApplicationStandardVRFillableBirth122818.pdf
Make Payable to: N.C Vital Records
Mail to: North Carolina Vital Records
1903 Mail Service Center
Raleigh, NC 27699-1900
Fee: $ 24
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NORTH DAKOTA
Website: https://www.health.nd.gov/vital/certified-copies-birth-records
Form: https://www.health.nd.gov/sites/www/files/documents/Files/Vital/SFN%208140.pdf
Make Payable to: North Dakota Department of Health
Mail to: Division of Vital Records
600 E Boulevard Ave Dept 301
Bismarck, ND 58505
Fee: $15
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OHIO
Website: https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/vital-statistics/how-to-order-certificates
Make Payable to: Treasurer, State of Ohio
Mail to: Ohio Department of Health
Vital Statistics
P.O Box 15098
Columbus, Ohio 43215-0098
Fee: $ 21.50
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OKLAHOMA
Website: https://oklahoma.gov/health/birth-and-death-certificates/birth-certificates.html#How_Mail
Make Payable to: OSDH (Oklahoma State Department of Health)
Mail to: Vital Records Service
Oklahoma State Department of Health
PO Box 53551
Oklahoma City, OK 73152
Fee: $15
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OREGON
Website:https://www.oregon.gov/oha/PH/BIRTHDEATHCERTIFICATES/GETVITALRECORDS/Pages/forms.aspx
Form:https://www.oregon.gov/oha/PH/BIRTHDEATHCERTIFICATES/GETVITALRECORDS/Documents/birthor.pdf
Make Payable to: OHA/Vital Records
Mail To: Oregon Vital Records
PO Box 14050
Portland, OR 97293-0050
Fee: $25
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PENNSYLVANIA
Website: https://www.health.pa.gov/topics/certificates/Pages/Birth-Certificates.aspx
Make Payable to: Vital Records
Mail to: Department of Health
Division of Vital Records
PO Box 1528
New Castle, PA 16103
Fee: $20
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RHODE ISLAND
Website: https://health.ri.gov/records/about/copies/
Form: Open Word Doc on the left of the website page listed above listed as Birth Certificate
Make Payable to: General Treasurer of RI
Mail To: RI Department of Health
Office of Vital Records
3 Capitol Hill, Rm 101
Providence, RI 02908
Fee: $25
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SOUTH CAROLINA
Website: https://scdhec.gov/vital-records/birth-certificates
Form: https://scdhec.gov/sites/default/files/Library/D-2595.pdf
Make Payable to: SC DHEC
Mail To: DHEC Vital Records
2600 Bull St
Columbia, SC 29201
Fee: $12
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SOUTH DAKOTA
Website: https://doh.sd.gov/records/OrderingVitalRecords.aspx
Form: https://doh.sd.gov/documents/Records/StateApplication.pdf
Make Payable to: Vital Records
Mail To: Vital Records
207 E Missouri Ave, Ste 1A
Pierre, SD 57501
Fee: $15
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TENNESSEE
Website: https://www.tn.gov/health/health-program-areas/vital-records/certificate.html
Make Payable to: Tennessee Vital Records
Mail To: Tennessee Vital Records
Andrew Johnson Tower, 1st Floor
710 James Robertson Parkway
Nashville, TN 37243
Fee: $15
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TEXAS
Website: https://dshs.texas.gov/vs/birth/
Form: https://dshs.texas.gov/vs/doc/Texas-Birth-Certificate-Application.pdf
Make Payable to: DSHS- Vital Statistics
Mail To: Texas Vital Statistics
Department of State Health Services
P O Box 12040
Austin, TX 78711-2040
Fee: $22
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UTAH
Website: https://vitalrecords.health.utah.gov/certificates/order-a-vital-record-certificate
Form: https://vitalrecords.health.utah.gov/wp-content/uploads/104-Birth-Certif-ApplicationRcpt.pdf
Make Payable to: Vital Records
Mail To: Vital Records
PO Box 141012
Salt Lake City, UT 84114-1012
Fee: $22
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VERMONT
Website: https://www.healthvermont.gov/health-statistics-vital-records/vital-records-population-data/birth
Make Payable to: Vermont Department of Health
Mail To: Vermont Department of Health
Vital Records Office
P O Box 70
Burlington, VT 05402
Fee: $10
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VIRGINIA
Website: https://www.vdh.virginia.gov/vital-records/applications-for-a-vital-record/
Make Payable To: State Health Department
Mail To: Office of Vital Records
P O Box 1000
Richmond, VA 23218-1000
Fee: $12
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WASHINGTON
Website: https://www.doh.wa.gov/LicensesPermitsandCertificates/VitalRecords/OrderCertificates
Form: *Website states Mail order is not available at this time*
Make Payable to:
Mail To:
Fee:
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WEST VRIGINIA
Website: https://dhhr.wv.gov/Pages/default.aspx
Form: http://www.wvdhhr.org/bph/hsc/vital/forms/birthfm.pdf
Make Payable to: Vital Registration
Mail to: Vital Registration
Room 165
350 Capitol Street
Charleston, WV 25301-3701
Fee: $12
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WISCONSIN
Website: https://www.dhs.wisconsin.gov/vitalrecords/record.htm
Form: https://www.dhs.wisconsin.gov/forms/f0/f05291.pdf
Make Payable To: State of Wisconsin Vital Records
Mail To: Wisconsin Vital Records Office
PO Box 309
Madison, WI 53701
Fee: $20
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WYOMING
Website: https://health.wyo.gov/admin/vitalstatistics/vital-record/birthcertificate/
Make Payable to: Vital Statistics Services
Mail To: Vital Statistics Services
2300 Capitol Avenue
Hathaway Building
Cheyenne, WY 82002
Fee:$20
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AMERICAN TERRITORIES
Puerto Rico
Website: https://portal.ct.gov/Malloy-Archive/Puerto-Rico-New-Birth-Certificate-Law
Make Payable To: Secretary of the Treasury
Mail To: Demographic Registry
P O Box 11854
San Juan, Puerto Rico 00910
Fee: $5
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GUAM
Website: https://www.cdc.gov/nchs/w2w/guam.htm
Form:
Make Payable to: Treasurer of Guam
Mail To: Office of Vital Statistics
123 Chalan Kareta
Mangiao, Guam 96913
Fee: $5 *couldn’t find an actual website this is off the CDC website and no form*
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America Samoa
Website: https://www.cdc.gov/nchs/w2w/american_samoa.htm
Form:
Make Payable to: Office of Vital Statistics/ASG
Mail To: America Samoa Government
Department of Homeland Security
Office of Vital Statistics
PO Box 6894
Pago Pago, AS 96799
Fee: $5 *couldn’t find an actual website this is off the CDC website and no form*
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Northern Marianas
Website: http://www.chcc.gov.mp/forms.php
Form: http://www.chcc.gov.mp/DocumentFiles/HealthVitalStatistics_3_4294535968.pdf
Make Payable to: Commonwealth Healthcare Corporation
Mail To: Health and Vital Statistics Office
P O Box 500409
Saipan, MP 96950
Fee: $25 plus a $5 mailing fee
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Virgin Islands St. Croix District
Website: https://doh.vi.gov/programs/vital-records-statistics
Form: https://doh.vi.gov/sites/default/files/2018%20doh_birthapplication.pdf
Make Payable to: Virgin Islands Department of Health
Mail To: Virgin Islands Department of Health
St Croix District
Office of Vital Records and Statistics
3500 Estate Richmond
St Croix, VI 00820
Fee: $15
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Virgin Islands St Thomas/St John
Website: https://doh.vi.gov/programs/vital-records-statistics
Form: https://doh.vi.gov/sites/default/files/2018%20doh_birthapplication.pdf
Make Payable to: Virgin Islands Department of Health
Mail To: Virgin Islands Department of Health
St Thomas/ St John District
Office of Vital Records and Statistics
1303 Hospital Ground, Suite 10
St Thomas, VI 00802
Fee:$15
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https://www.cdc.gov/nchs/w2w/index.htm – CDC WEBSITE