Do It Yourself Guide to Identification - page 12

Cert i f icates
BIRTH
12
UnitedWayof Calgary andArea,March 2014
Quebec
Purchase
Pay by
Inperson
Cash (in-persononly)
Bymail
Interact/Debit (in-persononly)
Online
Cheque
Money order
Visa
MasterCard
Cost:
Regular Long format Express/Priority
 Internet $31.00 $31.00
$51.00 * for themost current cost please
 Mail
$44.00 $44.00
$65.00
check thewebsite
 Counter $49.00 $49.00
$70.00
Required Information
Surname
 (last name, givenmaiden name if
certificate is for amarriedwoman)
Placeof birth
 (city, town, village andprovince)
All given name(s)
Parishor placeof worshipwherebirth
 was registered
Gender:maleor female
Surname, and all given name(s)
 of father, if applicable
Dateof birth
Surnameofmother (maidenname),
 and all givenname(s) ofmother
Additional InformationRequested
Name, address and telephonenumber of applicantmust beprovided
Relationship topersonnamedoncertificateand reason for requestingacertificate
Methodof payment
Requirements
Photocopy of validphoto identification
Photocopy of proof of home address
Contact Information
Website:
Tel: 1-877-644-4545
MailingAddress: Directeur de l’état civil
2535boulevard laurier
Québec, QCG1V5C6
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