EZ Birth Certificate .Com Record of Birth Abroad Worksheet
Please follow the instructions and provide the following information:
1. Hit the print button on your browser to print the worksheet
2.. Fill out the entire worksheet below
3. Sign the worksheet form
4. Click here to go to the Consular Vital Record Search Request Order Form .
5. Hit the print button on your browser to print the Consular Vital Record
....Search Request Form
6. Please legibly fill out the order form
7. Sign the Consular Vital Record Search Request Form
8. Make a copy of your drivers's license or your state issued identification
....card (if available)
9. FedEx forms (worksheet, search request form, & personal id) to the address
.....listed on the right. We highly reccomend FedEx for tracking purposes.
Where to Fedex:
EZ Birth Certificate.Com
3025 Walnut Bend Suite #33
Houston, Texas 77042
Certificate Holders Name at Birth___________________________________________
DaytimeTelephone_______________________
E-Mail Address___________________________________________________
I authorize EZ Birth Certificate. Com or any of its agents to obtain my Record of Birth Abroad for me.

Signature_________________________________________________________________________




Certificate of Report of Birth (DS-1350)
Fees Per Person (Multiple Copies Available)
Department of State Fee $30
Our service Fee $ 60
FedEx Fee $34
Sub Total $124
Add. Copies ($20) _____
Total _____

All money orders and cashiers checks are paid to U.S. Birth Certificate
Method of Payment (check one) Amount Enclosed $__________________
______ Visa______Mastercard______American Express______Discover______ Cashiers Check______ Money Order

Credit Card # _______________________________Expires_____________ Money Order # _____________
All Sales Final
Note to applicant:
You may be contacted by the Department of Sate if additional information is required.
FS-240 and Amending Correcting Consular Report of Birth have additional requirements. Please contact us directly to order these items
Both forms must bear the true and correct signature of the applicant or legal guardian.
You must list the physical street address (No APO's or PPO's or PO Boxes) where
someone can sign for the Record of Birth Abroad.
EZ Birth Certificate. Com is not responcible for delays in processing due to incomplete
applications, declined credit cards, proof of identity, or delays from off site repositories.
I understand that delays in processing may occur due to volume and workload at the Department of State.