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CA Birth Index Look-up Request
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Please use this form to request a look-up of the California Birth Index.
The years span from 1909 to 1995


Thank you!




Your Name: (Example: John Doe)

Your Email Address: (Example: johndoe@yahoo.com)





The surname you are requesting: (Last Name)

The given name you are requesting: (First Name)

Please provide the mother's MAIDEN name if you know it:

Please provide the COUNTY of birth if you know it:

Do you know the exact year of birth?
Yes
No
That year is:

If not, please provide a possible year:
That year is:


If you have NO idea, please provide an approximate 5-year range. (Example: 1905 to 1910)

Click this button to submit your response.

Last modified on April 10, 2012 by jmh



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