STEP 1: COMPLETE THIS ONLINE APPLICATION FORM
Only Ohio birth records can be processed.

STEP 2: SUBMIT PAYMENT
Payment is required before processing your order.
Pay online through (Point and Pay).
Card fees apply both online and in person.
No refunds will be issued.

STEP 3: DELIVERY METHOD
You’ll choose Pickup or Mail in this application.
Pickup: Certificates can be picked up at 1550 Sheridan Dr., Suite 100, Lancaster, OH.
Mail: Certificates will be mailed to the address you provide on the application.
You’ll receive an email notification once your order is ready for pickup or has been shipped.

Questions? Call 740-652-2800, OPTION 2