Form RD-225 "Birth Certificate Application by Mail" - Puerto Rico

Form RD-225 Printable Pdf
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What Is Form RD-225?

This is a legal form that was released by the Puerto Rico Department of Health - a government authority operating within Puerto Rico. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2008;
  • The latest edition provided by the Puerto Rico Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form RD-225 by clicking the link below or browse more documents and templates provided by the Puerto Rico Department of Health.

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Download Form RD-225 "Birth Certificate Application by Mail" - Puerto Rico

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RD-225
MOD 12/08
COMMONWEALTH OF PUERTO RICO
DEPARTMENT OF HEALTH
DEMOGRAPHIC REGISTRY
BIRTH CERTIFICATE APPLICATION BY MAIL
PART I: REGISTRANT’S INFORMATION
1. Name at birth:
________________
Father’s Last Name
Mother’s Last Name
First Name
Middle Name
3. Place of birth: (town and hospital)
2. Date of birth: (month/date/year)
4.Father’s Name:
5. Mother’s Name:
6. The certificate will be used for:
7. Number of copies:
Part II: APPLICANT’S INFORMATION*
2. Relationship:**
1.Applicant’s Name:
Father’s Last Name Mother’s Last Name First Name Middle Name
3. Applicant’s address:
4. Address where you want the certificate to be sent:
5. Applicant’s identification included:
Other
6. Applicant’s signature and date:
___Driver’s Lic, ___State ID, ___Passport, ___Public
Assistance, ___ Other
IMPORTANT: FIRST COPY $5.00 EACH / ADDITIONAL COPY $4.00 OF SAME PERSON
1.
Applicants living out of Puerto Rico send the application to the following address: Demographic Registry PO Box 11854,
San Juan Puerto Rico 00910
2.
If the applicant lives in Puerto Rico can visit any Local Registry near his/her house to complete an application.
3.
Applicant must send a photocopy of a recent valid photo-identification card.
4.
Applicant in Puerto Rico: Please send $5:00 internal Revenue Stamp for the first copy requested and $4.00 for each
additional copy for the same person.
5.
Applicant out of Puerto Rico: Please send $5.00 Money Order payable to Secretary of the Treasury.
6.
Please send a self-addressed-stamped-envelope to mail in your certificate.
7.
For rush mail as Fedex, Exp. Mail, Registered, UPS, etc. our address is: 171 Quisqueya Street, Hato Rey, PR 00917
WRITE CLEARLY YOUR NAME AND ADDRESS
*Applicant – means registrant, their children over 18 years of age, legal representative.
**Relationship – relation between the applicant and the registrant. This blank will be filled out if applicant and
Registrant is not the same person.
RD-225
MOD 12/08
COMMONWEALTH OF PUERTO RICO
DEPARTMENT OF HEALTH
DEMOGRAPHIC REGISTRY
BIRTH CERTIFICATE APPLICATION BY MAIL
PART I: REGISTRANT’S INFORMATION
1. Name at birth:
________________
Father’s Last Name
Mother’s Last Name
First Name
Middle Name
3. Place of birth: (town and hospital)
2. Date of birth: (month/date/year)
4.Father’s Name:
5. Mother’s Name:
6. The certificate will be used for:
7. Number of copies:
Part II: APPLICANT’S INFORMATION*
2. Relationship:**
1.Applicant’s Name:
Father’s Last Name Mother’s Last Name First Name Middle Name
3. Applicant’s address:
4. Address where you want the certificate to be sent:
5. Applicant’s identification included:
Other
6. Applicant’s signature and date:
___Driver’s Lic, ___State ID, ___Passport, ___Public
Assistance, ___ Other
IMPORTANT: FIRST COPY $5.00 EACH / ADDITIONAL COPY $4.00 OF SAME PERSON
1.
Applicants living out of Puerto Rico send the application to the following address: Demographic Registry PO Box 11854,
San Juan Puerto Rico 00910
2.
If the applicant lives in Puerto Rico can visit any Local Registry near his/her house to complete an application.
3.
Applicant must send a photocopy of a recent valid photo-identification card.
4.
Applicant in Puerto Rico: Please send $5:00 internal Revenue Stamp for the first copy requested and $4.00 for each
additional copy for the same person.
5.
Applicant out of Puerto Rico: Please send $5.00 Money Order payable to Secretary of the Treasury.
6.
Please send a self-addressed-stamped-envelope to mail in your certificate.
7.
For rush mail as Fedex, Exp. Mail, Registered, UPS, etc. our address is: 171 Quisqueya Street, Hato Rey, PR 00917
WRITE CLEARLY YOUR NAME AND ADDRESS
*Applicant – means registrant, their children over 18 years of age, legal representative.
**Relationship – relation between the applicant and the registrant. This blank will be filled out if applicant and
Registrant is not the same person.
Puerto Rico Department of Health Puerto Rico Legal Forms Birth Certificate Template Certificate Templates Business United States Legal Forms

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Form RD-225 Printable Pdf
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