Who can apply for a birth certificate?

The form lists the person named on the record, parents, siblings, child, spouse, grandparents, step-parent, legal guardian, or legal representative as eligible applicants.

What information does the application ask for?

It asks for the person’s name, date and place of birth, sex, parents’ names, and the applicant’s name, mailing address, telephone number, relationship, purpose, signature, and date.

Do I need a notary for the birth certificate application?

No. The application is signed and dated without a notary, and it lists no notarized attachment or sworn related step.

Duval County, TX · Duval County

No notary required

Application for Birth Certificate

This application is for eligible people requesting a birth certificate from the Duval County Clerk and asks for details about the record and applicant.

At a glance

Issued by: City of Duval County · Duval County, Duval County, Texas
Notarization: Not required: file this form without a notary.
Official source: co.duval.tx.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this application to request a birth certificate from the Duval County Clerk. The form asks for the person’s name, date and place of birth, sex, parents’ names, and the applicant’s contact information, relationship, purpose, signature, and date. It lists a cost of $23 per certified copy and warns that knowingly making a false statement can carry penalties.

Who needs it

A person eligible under the form’s instructions who wants to request a birth certificate from the Duval County Clerk needs this application.

How to submit it

Complete and sign the application, indicate the number of certified copies requested, and send it to Araseli B. Lichtenberger, Duval County Clerk, P.O. Box 248, San Diego, TX 78384. The form lists a cost of $23 per certified copy and has a space for the total enclosed.

About notarization

This application is signed and dated without a notary; it lists no notarized attachment or sworn related step.

How to submit this form

1
Download the Application
Download the Duval County birth certificate application.
2
Complete the Application
Fill in the requested birth-record and applicant information, including the purpose for obtaining the record.
3
Indicate Copies and Sign
Enter the number of certified copies requested, calculate the total listed cost, then sign and date the application.
4
Send to the County Clerk
Send the completed application to the Duval County Clerk at P.O. Box 248, San Diego, TX 78384.

Frequently asked questions

Who can apply for a birth certificate?: The form lists the person named on the record, parents, siblings, child, spouse, grandparents, step-parent, legal guardian, or legal representative as eligible applicants.
What information does the application ask for?: It asks for the person’s name, date and place of birth, sex, parents’ names, and the applicant’s name, mailing address, telephone number, relationship, purpose, signature, and date.
Do I need a notary for the birth certificate application?: No. The application is signed and dated without a notary, and it lists no notarized attachment or sworn related step.
How do I submit the birth certificate application?: Send the completed, signed application to Araseli B. Lichtenberger, Duval County Clerk, P.O. Box 248, San Diego, TX 78384. The form lists a cost of $23 per certified copy and a space for the total enclosed.

Need something notarized?

This Application for Birth Certificate doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.