Office of the Registrar-General

Online Birth Certificate Application Form

Government of Jamaica

Application for a Certified Copy of Birth Certificate

Form BIRREQ

Rev. 09/2025

The more accurate information is provided, the better the chance for prompt and accurate service.
Fields highlighted in red are mandatory

I hereby apply for a certified copy(ies) of the Birth Certificate for the following child:

Child's First Name

Child's Middle Name

Child's Last Name

Date of Birth

Sex (Indicate appropriately)

Male

Female

Hospital or Home Address

Parish of Birth

District of Birth

Date of Registration

Code

Reg Number

Parish of Registration

Place of Registration (District)

Mother's First Name

Mother's Last Name

Mother's Maiden Name

Father's First Name

Father's Middle Name

Father's Last Name

Applicant's Information

Applicant's First Name

Applicant's Middle Name

Applicant's Last Name

Applicant's Address (Street)

Applicant's Address (Line 2)

Applicant's Address (Town)

Applicant's Country

Applicant's Address (Parish)

Additional address information required for applicants living outside of Jamaica

Applicant's City

Applicant's State

Applicant's Postcode Zip

Applicant's Relationship to Child

Email Address

Cell Number

Home Number

Reason for Applying

Delivery/Pickup Location

Special Instruction

IF VALID DATA WAS NOT ENTERED IN THE MANDATORY FIELDS THIS APPLICATION CANNOT BE PROCESSED

Clear