Do It Yourself Guide to Identification - page 18

Cert i f icates
BIRTH
18
UnitedWayof Calgary andArea,March 2014
Yukon
Purchase
Pay by
Inperson
Cash (in-persononly)
Bymail
Interact/Debit (in-persononly)
By fax
Cheque
By phone
Money order
Visa
MasterCard
AmericanExpress
Cost:
$10.00 (Regular)
* for themost current cost please check
thewebsite
$10.00 (Long format)
For urgent andpriority service contact vital statistics
Required Information
Surname
 (last name, givenmaidenname if
certificate is for amarriedwoman)
Placeof birth
 (city, town, village andprovince)
All givenname(s)
Siblingorder
Gender:maleor female
Surname, and all givenname(s)
 of father, if applicable
Dateof Birth
Surnameofmother (maiden name),
 and all givenname(s) ofmother
Mother and father’s placeof birth
Additional InformationRequested
Name, address and telephonenumber of applicantmust beprovided
Relationship topersonnamedoncertificateand reason for requestingacertificate
Methodof payment
Language
Contact Information
Web-site:
Tel: (867) 667-5207
Fax: (867) 393-6486
MailingAddress: Health and Social Services
Vital Statistics
Box 2703
Whitehorse, YukonY1A 2C6
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