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2. Birth Record Request Form

   The North Attleboro Clerk's Office issues certified copies of the records of birth of those individuals who were born in North Attleboro or whose parents resided in North Attleboro at the time of the individual's birth. If the birth record requires identification (a record is not accessible to the general public if the parents were unmarried at the time the child was born, and have not since married and amended the birth record, or if the father's name does not appear on the record) the record can only be released if a copy of a photo ID of a person listed on the record is received by the office via email (naclerk@nattleboro.com) or by fax (508) 699-2354. If you are not certain whether a birth record is filed here, call the office for confirmation at 508-699-0142 before ordering, refunds take 2-4 weeks to process.

4. Child on Record
6. First Name:*
7. Last Name:*
9. City/Town of Birth*
10. State of Birth*
12. Date of Birth*
    Date of Birth
13. Number of copies requested:*
    -- Select One --12345678910

    Fee: $10 per copy

17. Requested By:
19. First Name*
20. Last Name*
22. Address*
24. City*
25. State*
26. Zip Code*
28. Phone Number*
30. Please print out this completed form and submit to the Town Clerk's office along with payment and self-addressed stamped envelope
Leave This Blank:


31. Print Only

* indicates a required field