US Birth submission form

Minnesota Birth submission information:

DO NOT SEND BIRTHS OF PEOPLE STILL LIVING!!!

I do not have the capability to do lookups!

Submit MNBirths
 *=required
Childs Name: Last, First *
Fathers Name: Last, First *
If unknown, enter unknown
Mothers Name: Last, First *
If unknown, enter unknown
Birthdate: *
County/City *
Certificate #/Book/Page/Line::
Your Name *
Your Email: *
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