If you are an authorized individual (see application below), you may come into our office to purchase a certified birth certificate. In order to receive an authorized, certified copy, you must complete the application form, which includes a sworn statement, under penalty of perjury. You may bring valid identification, i.e. state identification, state driver's license, passport, etc. Pay by cash, check and money order only, payable to Lake County Health Services Department
Do not sign the sworn statement until you are in the presence of Vital Records staff.
A completed application and a notarized sworn statement form signed under penalty of perjury by the authorized requestor are required for all orders sent by mail. Mail the completed application, notarized sworn statement, a self-addressed envelope is preferred but optional, and the required payment by check or money order only, payable to Lake County Health Services Department.
Mail to: Lake County Health Services Department Vital Records 922 Bevins Court Lakeport, CA 95453