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Other Names: Affidavit of Live Birth Date of Birth Affidavit Affidavit of Birth Certificate
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What is an Affidavit of Birth?

An Affidavit of Birth is a legal document that can be used to verify the facts surrounding an individual's birth, including birth date, location, and the name of each parent. If you are unable to obtain an acceptable birth certificate, you may submit an Affidavit of Birth as a substitute. To make this Affidavit, you must find someone with personal knowledge about your birth. That person is often a blood relative, but could be someone else who was there when you came into the world, such as the attending physician, nurse, or midwife. Called the "affiant," the person making and signing the Affidavit will need to state how they know the details of your birth to be true. This document must be notarized before you can use it as an official substitute for a birth certificate.

When to use an Affidavit of Birth:

  • Your birth record is incomplete.
  • You are unable to locate your complete birth record.
  • You need additional proof of your birth when applying for a job or official documentation, such as a passport, visa, or Green Card.

Sample Affidavit of Birth

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I , residing at , , , , certify under penalty of perjury that I was born on at and as follows:


This affidavit is executed on behalf of the following person:


Name: Gender: Age:

Citizen of: Marital Status: Relationship to Sponsor:

Current Address: City: State: Country:

Name Before Marriage:

I further declare, was born on in , , to and ,


I have direct personal knowledge of the event and circumstances concerning the birth of because , and


I have known the applicant since ,


This affidavit is being submitted because .


Oath or Affirmation of Affiant:

I certify under penalty of perjury under law that I know the contents of this affidavit signed by me and that the statements are true and correct.


___________________________________ _________________________



STATE OF ss:, ss:

Affidavit of Birth FAQs

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  • How can I write an Affidavit of Birth Form online for free?

    It is fast and easy to get what you need using a free Affidavit of Birth template from Rocket Lawyer:

    1. Make the document - Answer a few general questions and we will do the rest
    2. Send or share - Review it with an attorney, if needed
    3. Sign it - Sign your Affidavit and make it legal

    Each Affidavit of Birth Form from Rocket Lawyer can be edited to address your specific circumstances. To get started, simply click "Make document" above. Your Affidavit will be assembled step by step so you can be certain that it has the proper details within.

  • Should I hire a lawyer for my Affidavit of Birth?

    Making an Affidavit of Birth is typically straightforward, but you may still have questions. The answer will depend on whom you contact, but often some lawyers won't even accept requests to review a document if they weren't the one who worked on it. An easier approach worth consideration is to request help from Rocket Lawyer network of attorneys. As a Premium member, you will be able to ask for a document review from an experienced lawyer or pose additional legal questions related to your Affidavit. We are here for you.

  • How much would it typically cost for me to make an Affidavit of Birth?

    The cost of hiring a conventional law firm to draft an Affidavit of Birth might be between two hundred and one thousand dollars, depending on where you are and how complicated it might be. Rocket Lawyer isn't your average Affidavit template provider. With our service, anyone under a Rocket Lawyer membership has access to up to 40% in savings when hiring an attorney.

  • Will there be any next steps that I should be sure to take after writing my Affidavit of Birth?

    Upon finishing this Affidavit with the help of Rocket Lawyer, you'll have the ability to review it on any device, anytime. You should feel free to interact with the document in any or all of these ways: making edits, saving it as a Word or PDF document, and/or signing it. Your Affidavit of Birth Form also comes with its own list of helpful tips on what you should do next.

  • Does an Affidavit of Birth Form need to be notarized or witnessed?

    Yes, an Affidavit of Birth Form needs the signature of a notary. Witnesses are not required.

Affidavit of Birth document preview

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