TAS Birth Certificate – Application Form Step 1 of 29 3% Can I Order a Certificate?Please answer the following questions so we can check you are able to order a birth certificate from this site.Is the birth registered in Tasmania?(Required) Yes No Sorry you cannot use this Service We can only issue a birth certificate if the birth has been registered in Tasmania. Please contact the Registry Office where the birth occurred.Are you eligible to apply for the birth certificate?(Required) Yes No Check who can applySorry you cannot use this Service We cannot send you a birth certificate unless you have authority from an eligible person. If you need help please contact BDMYou need to provide evidence confirming who you are. Do you have copies of your identity documents ready to upload? Yes No Not Applicable (unrestricted records only) View the documents you will need.Sorry you cannot use this Service We cannot send you a birth certificate until you can prove your identity.Privacy Notice(Required) I agreeIn line with the Personal Information Protection Act 2004, the Registry of Births, Deaths and Marriages is collecting this information so that it can determine your eligibility to obtain the requested certificate and to prevent fraud. If you do not provide all of the information requested, particularly that relating to the reason the document is required and your relationship to the registered person, then you may not be provided with a copy of the certificate. Your personal information may be disclosed to law enforcement agencies, courts and other organisations authorised to collect it. Birth CertificateTell us about this birth so we can find the right record for you.Details of the BirthAdopted in Tasmania?(Required) Yes No You will need to provide the names of the adoptive parents. To obtain the pre-adoptive certificate do not use this online form and contact BDMPlace of Birth (City or Town)(Required)Please selectAvocaBeaconsfieldBothwellBrightonBruniBrunieCampbell TownClarenceCurrieCygnetDeloraineDevonportDoverEmu BayEsperanceEvandaleFingalFlinders IslandFrankfordFranklinGeevestonGeorge TownGlamorganGlengarryGormanstonGreat Swan PortGreen PondsGroveHamiltonHobartHuonKentishKing IslandKoonyaLatrobeLauncestonLefroyLenah ValleyLevenLilydaleLongfordLyellMerseyMole CreekMontaguMorvenNew NorfolkOatlandsOusePenguinPort CygnetPort FrederickPort SorellPortlandQueenstownRichmondRingaroomaRoseberyRossScottsdaleSheffieldSmithtonSorellSouthportSpring BaySt HelensSt MarysStanleyStrahanSwanseaTable CapeTasmanTriabunnaUlverstoneUnknownVictoria HuonWaratahWest HobartWestburyWhitemarkWynyardZeehanOtherPlace of Birth (City or Town) Other(Required)Date of Birth(Required) Day Month Year Family Name(Required)All Given Names(Required)Mother's DetailsMother's Family Name at Birth(Required)Mother's All Given Names(Required)Father/Other Parent's DetailsFather/Other Parent's Family Name(Required)Father/Other Parent's Given Names(Required) Certificate DetailsAre you the registered person or a parent/guardian of the registered person, who is under 16 years?(Required) Yes No The birth certificate will not include gender or change of name details. If you wish to apply for a certificate including this information, you will need to upload evidence that the registered person consents to the inclusion of gender information on the certificate or evidence that the registered person cannot provide consent due to death or incapacity. This does not apply to unrestricted or historical birth certificates. Check who can applyWould you like gender included on the Certificate?(Required) Yes No If a change of gender has been registered, would you like previous gender details included on the certificate?(Required) Yes No If a change of name/s has been registered would you like the change/s included on the certificate?(Required) Yes No Please upload evidence that the registered person consents/is unable to consent/is deceased, unless it is an unrestricted, historical record(Required)Max. file size: 10 MB. Check who can apply Applicant DetailsYou are the applicant. We need your details so we can get your certificate/s to you and contact you if we need more informationSurname(Required)All Given Names(Required)Phone Number(Required)Email Address(Required) Confirm Email Address(Required) Preferred Method of Contact(Required)Please selectEmailPhoneMail Applicant AddressResidence addressAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Is the postal address for delivery the same as your residential address?(Required) Yes No Postal addressAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Am I entitled to get this certificate?You must provide proof of entitlement for the certificates being ordered. If you are not the registered person Births, Deaths and Marriages may contact you requesting further evidence of relationship.Relationship(Required)Please selectSelfParentChild ofLegal GuardianSpouse/PartnerExecutor/AdministratorSolicitor/LawyerResearcherOtherOther Relationship(Required)You must attach evidence of entitlement eg. birth, will, marriage etc.(Required)Max. file size: 10 MB. You must attach a business letter head.(Required)Max. file size: 10 MB. Reason(Required)Please selectBenefits/PensionEstate PurposesFamily History/ResearchIDLife InsuranceLost/ReplacementMarriagePassport/TravelVisa/CitizenshipOtherOther Reason(Required) Identification of ApplicantPlease upload three different types of identity documents. Make sure to select a different option in each of the three upload sections to help us verify your identity. At least one document must contain your current address.Choose document 1(Required)Please selectAn Australian birth certificateCitizenship certificateImmicardNew Zealand citizenship certificate together with passportNew Zealand birth certificateChoose document 2(Required)Please selectAustralian driver's licenceAustralian passportASIC/MSIC cardFirearms licenceForeign passportProof of age cardChoose document 3(Required)Please selectMedicare cardServices Australia card (Centrelink)Australian marriage certificate (issued from BDM office)Department of Veterans Affairs cardSecurity/Crowd control licenceTertiary education institution ID cardCredit card / bank statementRecent utility account with current residential address (issued within last 3 months)Lease or rent agreement with current address An Australian birth certificatePlease provide the following details from your birth certificateState(Required)Please selectTASNSWQLDNTSAACTWAVICFamily Name(Required)Given Names(Required)Date of Birth(Required) Day Month Year Certificate Number(Required)Certificate number is located on the front of the certificate in the bottom left hand cornerRegistration Number(Required)Upload document 1(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Citizenship certificatePlease provide the following details from your Australian citizenship certificateFamily Name(Required)Given Names(Required)Date of Birth(Required) Day Month Year Stock Number(Required)Acquisition Date(Required) Day Month Year Upload document 1(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. ImmiCardPlease provide the following details from your Australian government issued ImmicardFamily Name(Required)Given NamesDate of Birth(Required) Day Month Year ImmiCard Number(Required)Upload document 1(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. New Zealand citizenship certificate together with passportYou now need to attach the following documentsUpload document 1(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. New Zealand birth certificateYou now need to attach the following documentsUpload document 1(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Australian driver's licencePlease provide the following details from your Australian drivers licenceState(Required)Please selectTASNSWQLDNTSAACTWAVICFamily Name(Required)Given Name(Required)Middle Name(Required)Date of Birth(Required) Day Month Year Licence Number(Required)Card Number(Required)TAS card number is printed on the back (top right corner). Check card number location for other States and TerritoriesUpload document 2(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Australian PassportPlease provide the following details from your Australian passportFamily Name(Required)Given Names(Required)Date of Birth(Required) Day Month Year Passport Document Number(Required)Gender(Required) Male Female X Upload document 2(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. ASIC/MSIC CardPlease provide the following details from your Aviation or Maritime Security Identification cardCard Type(Required) ASIC MSIC Name on Card(Required)Expiry Date(Required)Card Number(Required)Date of Birth(Required) Day Month Year Upload document 2(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Firearms licenceYou now need to attach the following documentsUpload document 2(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Foreign passportYou now need to attach the following documentsUpload document 2(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Proof of age cardYou now need to attach the following documentsUpload document 2(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Medicare CardPlease provide the following details from your Medicare cardName Line 1(Required)Name Line 2Name Line 3Name Line 4Medicare Card Number(Required)Individual Reference Number(Required)Card Colour(Required) Green Blue Yellow Expiry Date Day Month Year Date of Birth(Required) Day Month Year Upload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Centrelink CardPlease provide the following details from your Centrelink cardName(Required)Customer Reference Number(Required)Card Type(Required) Pensioner Concession Card Health Care Card Seniors Health Card Expiry Date(Required) Day Month Year Date of Birth(Required) Day Month Year Upload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Marriage CertificatePlease provide the following details from your marriage certificateState(Required)Please selectTASNSWQLDNTSAACTWAVICFamily Name (groom)(Required)Given Name (groom)(Required)Family Name (bride)(Required)Given Name (bride)(Required)Date of Event(Required) Day Month Year Certificate Number(Required)Registration Number(Required)Upload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Department of Veterans Affairs cardYou now need to attach the following documentsUpload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Security/Crowd control licenceYou now need to attach the following documentsUpload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Tertiary education institution ID cardYou now need to attach the following documentsUpload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Credit card / bank statementYou now need to attach the following documentsUpload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Recent utility account with current residential address (issued within last 3 months)You now need to attach the following documentsUpload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Lease or rent agreement with current addressYou now need to attach the following documentsUpload document 3(Required)Max. file size: 2 GB. (Required) I confirm that I am authorised to provide the personal details presented and I consent to my information being checked with the document issuer or official record holder via 3rd party systems for the purpose of confirming my identity. Change of Name UploadIf you have changed your name we need to check each change to confirm you have access to the record. Please upload documents as evidence of your name change/s. This is not required if they are due to marriage or relationship registered in Tasmania (as Births, Deaths and Marriages should be able to confirm the details internally).Number of Name Changes(Required)Please select0123Choose document 1(Required)Please selectBDM Issued Marriage Certificate AustraliaBDM Issued Marriage Certificate OverseasBDM Issued Change of Name Certificate AustraliaBDM Issued Change of Name Certificate OverseasDivorce Paper issued by Court (showing previous name)Adoption Paper issued by CourtGuardianship OrderRelationship CertificateStatutory declaration name by repute or usageDocument Number(Required)Upload document 1(Required)Max. file size: 2 GB. Choose document 2(Required)Please selectBDM Issued Marriage Certificate AustraliaBDM Issued Marriage Certificate OverseasBDM Issued Change of Name Certificate AustraliaBDM Issued Change of Name Certificate OverseasDivorce Paper issued by Court (showing previous name)Adoption Paper issued by CourtGuardianship OrderRelationship CertificateStatutory declaration name by repute or usageDocument Number(Required)Upload document 2(Required)Max. file size: 2 GB. Choose document 3(Required)Please selectBDM Issued Marriage Certificate AustraliaBDM Issued Marriage Certificate OverseasBDM Issued Change of Name Certificate AustraliaBDM Issued Change of Name Certificate OverseasDivorce Paper issued by Court (showing previous name)Adoption Paper issued by CourtGuardianship OrderRelationship CertificateStatutory declaration name by repute or usageDocument Number(Required)Upload document 3(Required)Max. file size: 2 GB. Credit CardConfiguration Required: To use the Stripe field, please configure your Stripe Settings. Price $119.00 This price includes application management, processing and assistance costs, government fees and taxes. Terms and Conditions I agree1. Privacy Information held by the Tasmanian Registry of Births, Deaths and Marriages may be used for statistical purposes and by law enforcement agencies, as well as other uses provided for by law. Such access for approved purposes may be granted to other Registries and certain government and authorised non-government agencies. In line with the Personal Information Protection Act 2004, the Registry requires proof of your identity to protect your privacy. We collect this information to determine your eligibility to obtain this certificate/s and to prevent fraud. 2. Disclosure of Information By completing this application form you consent to the release of information provided by you, to those agencies who may be able to validate that information in support of your application. It is extremely important that all your identity documents are accurate and reflect your correct identity information. Documents provided as proof of identity may have their authenticity verified through the National Document Verification Service (DVS). Documents issued by this office may also be verified by other organisations using DVS. 3. I understand that it may be an offence to give false information in this application. By clicking on the 'I agree' box and submitting this application I certify that I have read and understood all the information outlined in the declaration above.