Public Health Vital Records

One of the following valid, unexpired, government issued documents:

• Driver’s license
• State issued photo identification card
• Passport
• Permanent residence card (Green Card)
• Military identification card
• Other valid picture identification card issued by a foreign government (If the mother gave birth but is not here legally, she might be able to get identification verification from her consulate.
• If the mother does not possess government-issued identification, the acceptance of the application is at the discretion of the local or deputy registrar

One of the following:

• Ultrasound that includes the date and mother’s name
• Medical visit summary (ex. MyChart) that specifies a positive pregnancy test or contains obstetrical data
• Statement from a licensed healthcare provider who has first-hand knowledge of the pregnancy, and can attest in writing the facts of pregnancy (statement must include mother’s name and DOB, date of last menstrual cycle, or estimated due date- and contain the signature and license number of the clinician)
• Notarized statement from a non-relative who is a community member and witnessed you pregnant (religious leader, employer, teacher, etc.)
• Other evidence acceptable to the local health director 

One of the following:

• Rental or mortgage receipt dated within 30 days of the birth, showing the address and mother’s name (or father, if he is listed on the birth certificate)
• Electric power, natural gas, or water bill for the statement period when the birth occurred if the birth occurred at the mother's residence. The copy of the bill (or statement from the company) showing the name of the utility company, address of the residence where the birth occurred, and name of mother or father (if listed on the birth certificate)
• Letter from a government agency showing mother is receiving services at the address listed
• If birth occurred elsewhere (relative’s home, non-licensed birth facility, etc.) a notarized statement from the owner/homeowner with proof of their address (ID, current utility bill, letter from a government office, etc.)  is required.

• This office only processes birth applications for infants under 1 year old. For delayed filings over 1 year, please contact the state vital records office
• An appointment is required to register your child’s birth
• A completed mother’s worksheet must be submitted via fax, mail, or email prior to scheduling an appointment.  The deputy registrar may verify the accuracy of all information provided for out-of-facility births
• Depending on the circumstances of your delivery, you may need to bring a witness who can attest to the birth (18 and older with ID)
• Depending on the circumstances of your delivery, you may need to bring the infant to the appointment
• If the parents are not married, the father’s name will not be listed on the birth certificate unless both parents are present to sign a voluntary "Affidavit of Paternity."
• If mother was married to someone other than the father named on the Affidavit at the time of conception or birth or between conception and birth of a child, the name of the father identified on the Affidavit of Parentage will not be entered on the birth certificate. Per N.C. General Statute 130A-101(e), the husband must be entered as the father on the birth certificate unless all the requirements of N.C. General Statute 130A-101(e)(2) have been met, or if paternity has been otherwise determined by a court of competent jurisdiction (N.C. General Statute 130A-101(e)(1)

Greensboro: Nakai Fludd nfludd@guilfordcountync.gov 336-641-3160

High Point: Leslie Barbee lbarbee@guilfordcountync.gov 336-641-7991