INFORMATION FOR OBTAINING

A BIRTH CERTIFICATE
Dear Requestor,

As always, the City of Edinburg wants to ensure your safety and the safety of all city staff; therefore, as
a precautionary measure due to COVID-19, Vital Statistics will be accepting and processing Mail
Requests. The City is currently issuing both Long Form and Abstract Birth Certificates.

ALL REQUIREMENTS TO OBTAIN A BIRTH CERTIFICATE STILL APPLY.

When submitting the application, you must include a photocopy of your valid identification issued by a
governmental entity or acceptable form(s) of identification as supporting documents.
For a complete list of acceptable forms of identification see attached or go to
https://www.dshs.texas.gov/vs/requirements.aspx or contact the City of Edinburg-Vitals Statistics
at 956.388.1852

Applications for birth certificates CANNOT be processed without a photo ID or alternate IDs, and
the signature of the applicant. If a valid photo ID or alternate IDs and the signature are NOT
received, the application WILL NOT BE processed.

MAIL‐IN CUSTOMER CHECK LIST:

[ ] Complete both sections of the City of Edinburg application. Please write clearly.
[ ] On application, write the number of records being requested in the Applicant Information
portion. Please write clearly.
[ ] Enclose a color copy of a current valid identification and/or supporting documents.

[ ] Enclose $23.00 fee for each record plus a $2.00 fee for a Vinyl Cover. One vinyl cover for
each birth record requested. Make Money Orders payable to:

MAIL YOUR APPLICATION WITH COPY OF ID AND/OR SUPPORTING DOCUMENTS TO:

City of Edinburg, Attn: Vital Statistics, P.O. Box 1079, Edinburg, TX 78540

For information go to:

https://cityofedinburg.com/departments/city_secretary/birth_and_death_records.php or contact City
of Edinburg‐Vitals Statistics at 956.388.1852

Thank you,
City of Edinburg
Vital Statistics
LONG FORM AND ABSTRACT BIRTH CERTIFICATES:
The City is currently issuing both Long Form and Abstract Birth Certificates.
The City issues long form birth certificates only for individuals born within the city limits of Edinburg, Texas.
Long Form Birth Certificate -Is the most comprehensive birth record that indicates all the history of the birth
record. It is a certified copy of the original birth certificate.

The city issues abstract birth certificates only for individuals born within the State of Texas but not born within
city limits of Edinburg, Texas. Abstract Birth Certificate ‐ Has less comprehensive information.
It is a certified copy of the original birth certificate.

PROPERLY QUALIFIED APPLICANT

Properly Qualified Applicant ‐The registrant or immediate family member either by blood, marriage or
adoption; his or her guardian, or his or her legal agent or representative. Local, state and federal law enforcement
or governmental agencies and other persons may be designated as properly qualified applicants by
demonstrating a direct and tangible interest in the record when the information in the record is necessary to
implement a statutory provision or to protect a personal legal property right. A properly qualified applicant may
also be a person who has submitted an application for a request to release personal information and has been
approved as outlined in 181.11 of this tile (relating to Requests for Personal Data.) [25 TAC§181.1(22)]

IMMEDIATE FAMILY MEMBER ‐ BIRTH CERTIFICATE

An immediate family member is a qualified applicant to receive a certified copy.
Immediate family member (by blood or marriage) is defined as:
• Self – Valid Photo ID
• Father (when listed on the record; if not listed, has a court order stating he is the father) – Valid Photo ID
• Mother ‐ Valid Photo ID
• Grandfather – Valid Photo ID plus Original Birth Record of Parent
• Grandmother – Valid Photo ID plus Original Birth Record of Parent
• Brother - Valid Photo ID plus their Original Birth Record
• Sister – Valid Photo ID plus their Original Birth Record
• Husband – Valid Photo ID plus Original Marriage License
• Wife - Valid Photo ID plus Original Marriage License
• Legal Guardian ‐ a copy of the legal guardianship papers is required as proof
• Legal Representative - document from the qualified applicant needed
 City Secretary Department - Vital Statistics
415 W. University Drive Application #
Elizabet Rodriguez - Deputy Registrar
P.O. Box 1079
Sylvia G. Rodriguez - Administrative Specialist
Office Only
Edinburg, Texas 78539
O: 956.388.1852 Sarah Bryan - Administrative Specialist
Revised: January 04, 2022 F: 956.388.8986

TEXAS BOARD OF HEALTH: TEXAS ADM. CODE 181.11: PROPERLY QUALIFIED APPLICANT: THE REGISTRANT OR IMMEDIATE FAMILY MEMBER EITHER BY
BLOOD, MARRIAGE OR ADOPTION; HIS OR HER GUARDIAN, OR HIS OR HER LEGAL AGENT OR REPRESENTATIVE [25 TAC§181.1(22)]

BIRTH / DEATH RECORD INFORMATION

FULL NAME OF PERSON ON RECORD: _______________________________________________________________________

DATE OF BIRTH: _________/________/________ DATE OF DEATH: __________/_________/__________

MONTH DAY YEAR MONTH DAY YEAR

CITY OF BIRTH: ____________________________ CITY OF DEATH: __________________________________

FULL NAME OF MOTHER / FATHER #1: ____________________________________________________________________________

FULL NAME OF MOTHER / FATHER #2: ____________________________________________________________________________

REASON / PURPOSE FOR OBTAINING THIS CERTIFICATE (Specify): __________________________________

APPLICANT INFORMATION
YOUR RELATIONSHIP TO PERSON ON CERTIFICATE: (Please Circle) SELF PARENT SIBLING OTHER: _______________

FULL NAME: ____________________________________

(Write Clearly)

PHYSICAL ADDRESS: _________ _______________________________

(Write Clearly)

CITY: ______________________________

STATE: _____________ ZIP CODE: ___________

TELEPHONE #: (_______)______________________

WARNING: THE PENALTY FOR KNOWING MAKING A FALSE STATEMENT IN THIS FORM CAN BE 2 – 10 YEARS IN PRISON AND A FINE OF UP TO $10, 000. A
PERSON COMMITS AN OFFENSE IF THE PERSON INTENTIONALLY OR KNOWING MAKE A FALSE STATEMENT OF DIRECTS ANOTHER PERSON TO MAKE A FALSE
STATEMENT IN AN APPLICATION FOR A CERTIFIED COPY OF VITAL RECORDS. {HSC§195.003}
DISCLOSURE: I UNDERSTAND THAT SHOULD THE CERTIFICATE NOT BE ACCESSIBLE; FILED IN THE CITY’S / STATE’S RECORDS, OR IF INSUFFICIENT DOCUMENTATION
IS PROVIDED FOR PROCESSING, BUT A SEARCH IS DONE FOR THE RECORD, THE SEARCH FEE WILL NOT BE REFUNDED.

SIGNATURE: _____________________________________ DATE: ____________________________

INITIALS REQUIRED AFTER CERTIFICATE IS REVIEWED x______________

FOR OFFICE USE ONLY

BIRTH CERTIFICATES: DEATH CERTIFICATES: Search Fee:
(EDINBURG DEATH ONLY) (When a Record is Searched and Not Found) CERT:__________________________
____ BIRTH CERTIFICATE $23.00 ____ DEATH CERTIFICATE $21.00
(STATEWIDE – LETTER SIZE) (LETTER SIZE)
____ Birth Certificate $22.00
____ DEATH CERTIFICATES $21.00 ____ Death Certificate $20.00
____ BIRTH CERTIFICATE $23.00
(EDINBURG ONLY – LETTER SIZE) (LEGAL SIZE W/ AMENDMENTS)
ABSTRACT:___________________
____ BIRTH CERTIFICATE $23.00 ____ EXTRA COPIES $4.00 Verification Letter Fee:
DATE ISSUED:________________
(LEGAL SIZE W/ AMENDMENTS)
____ VINYL COVER $2.00 (A Letter that verifies whether or not a birth/death
____ VINYL COVER $2.00 was filed in the City of Edinburg Vital Statistics)
(ONE VINYL COVER PER RECORD)
____ Birth Verification Letter $22.00
TOTAL $ _______ TOTAL $ _______
(Total fees include Preservation Fee) (Total fees include Preservation Fee)
____ Death Verification Letter $20.00 ISSUED BY: ___________________
 City Secretary Department - Vital Statistics
415 W. University Drive Application # -
Elizabet Rodriguez - Deputy Registrar
P.O. Box 1079
Sylvia G. Rodriguez - Administrative Specialist Office Only
Edinburg, Texas 78539
O: 956.388.1852 Sarah Bryan - Administrative Specialist
Revised: January 04, 2022 F: 956.388.8986
JUNTA DE SALUD DE TEXAS: TEXAS ALMIRANTE CÓDIGO 181.11: SOLICITANTE CUALIFICADO: EL REGISTRANTE O MIEMBRO DE SU FAMILIA INMEDIATA YA
SEA POR SANGRE, MATRIMONIO O ADOPCIÓN; SU O SU TUTOR, O SU AGENTE LEGAL O REPRESENTANTE [25 TAC§ 181.1(22)]

APLICACIÓN PARA ACTA DE NACIMIENTO O FALLECIMIENTO

NOMBRE COMPLETO DE LA PERSONA QUE APARECE EN EL CERTIFICADO: ___________________________________________________________

FECHA DE NACIMIENTO: ________/_________/_________ FECHA DE FALLECIMIENTO: _________/__________/_________

MES DÍA AÑO MES DÍA AÑO

CIUDAD DE NACIMIENTO: ____________________________ CIUDAD DE FALLECIMIENTO: _____________________________

NOMBRE COMPLETO DE MAMÁ / PAPÁ # 1: __________________________________________________________________________

NOMBRE COMPLETO DE MAMÁ / PAPÁ # 2: __________________________________________________________________________

LA RAZÓN POR LA CUAL NESCESITA EL CERTIFICADO: (Indique) ________________________________________________

SOLICITANTÉ
SU RELACION CON LA PERSONA DEL CERTIFICADO: (Circulo se Seleccion) YO PADRE HERMANO OTRO: ________________

NOMBRE COMPLETO: _________________________________________

Escribe Claramente

DIRECCIÓN FÍSICA: ________________________________________

Escribe Claramente

CIUDAD: _________________________
ESTADO: __________ CODIGO POSTAL: ___________

NUMERO DE TELÉFONO: (______) ______________________

ADVERTENCIA: LA PENA PARA SABER HACER UNA DECLARACIÓN FALSA EN ESTE FORMULARIO PUEDE SER 2 A 10 AÑOS DE PRISIÓN Y UNA MULTA DE HASTA $10, 000.
UNA PERSONA COMETE UN DELITO SI LA PERSONA INTENCIONALMENTE O A SABIENDAS HAGA UNA FALSA DECLARACIÓN DE DIRIGE A OTRA PERSONA A HACER UNA
DECLARACIÓN FALSA EN UNA SOLICITUD PARA UNA COPIA CERTIFICADA DE REGISTROS VITALES [HSC§ 195.0039(a‐4)]

DIVULGACION: YO ENTIENDO QUE SI EL CERTIFICADO NO SEA ACCESIBLE, NO ESTÉ ARCHIVADA EN LOS REGISTROS DE LA CIUDAD / ESTADO, O INSUFICIENCIA DE LA
DOCUMENTACIÓN SE PROPORCIONA PARA SU PROCESAMIENTO, PERO SE HACE UNA BÚSQUEDA PARA EL REGISTRO, EL COSTO DE BÚSQUEDA NO SERÁ REEMBOLSADO.

FIRMA: ________________________________ FECHA: _______________________

INICIALES REQUERIDO DESPUES CERTIFICADO SE REVISA x_____________

SOLAMENTE PARA USO DE OFICINA

NACIDOS EN EDINBURG FALLECIDOS EN EDINBURG Precio Por La Búsqueda:
SOLAMENTE: SOLAMENTE: (Cuando se Busca un Regustro y no se Encuentra) CERT: __________________________
____ ACTA DE NACIMENTO $23.00 ____ ACTA DE FALLECIMIENTO $21.00 ___ Acta de Nacimento $22.00
(TODO EL ESTADO DE TEJAS – TAMANO DE LA LETRA) (TAMANO DE LA LETRA)

____ ACTA DE NACIMIENTO $ 23.00 ____ ACTA DE FALLECIMIENTO $21.00 ___ Acta de Fallecimiento $20.00 ABSTRACT: _________________
(EDINBURG SOLAMENTE – TAMANO DE LA LETRA) (PAGINA SOLAMENTE CON ENMIENDAS – EDINBURG)

____ COPIAS EXTRA $ 4.00 Costo de la Carta de Verificación:

____ ACTA DE NACIMIENTO $23.00
(PAGINA SOLAMENTE CON ENMIENDAS – EDINBURG)
(Es una carta que verifica si el acta de
DATE ISSUSED:________________
_____ CUBIERTO DE VINIL $2.00 ____ CUBIERTO DE VINIL $2.00 Nacimiento/Fallecimiento se archivo en la Ciudad de Edinburg
Estadísticas Vitales)

____ Verificación de Nacimiento $22.00

TOTAL $ __________ TOTAL $ _________ ISSUED BY: ______________
(COSTO DE PERSERVACION ESTA INCLUIDO EN TOTAL) ____ Verificación de Fallecimiento $20.00
(COSTO DE PERSERVACION ESTA INCLUIDO EN TOTAL)
 Acceptable Identification (ID)
Vital Statistics accepts the following form(s) of identification (ID)*:
 Provide ONE (1) from GROUP A; OR
 If you do not have one from Group A, provide TWO (2) from GROUP B; or
 If you do not have one from Group A or two from Group B, provide ONE (1) from
GROUP B and TWO (2) from GROUP C.
*See Title 25 Texas Administrative Code §181.28 for complete details on qualified applicant identification and
supporting documentation requirements.

GROUP A ‐ Primary identification

These items are complete within themselves and require no supporting instruments. All of these may not be expired for
more than 90 days and must include a photo.

Most Common Group A IDs:

 Driver's license from a U.S. state
 Federal or state ID card
 Military ID card
 U.S. passport
Other Acceptable Group A IDs:
 License to Carry a Handgun
 Pilot's license
 Law enforcement employment ID (federal, state, or city)
 Offender ID issued by the Texas Department of Criminal Justice or an ID from a federal or U.S. state
correctional facility or institution
 Department of Homeland Security, United States Citizenship and Immigration Services (USCIS) issued:
o Employment Authorization Document (EAD)
o Permanent Resident Card (Green Card)
o Travel documents:
 Re-entry permit
 Refugee travel document
 Advance parole
o SENTRI card
o U.S. citizen ID card
 U.S. Department of State issued:
o Border Crossing Card (BCC) – B1 for business or pleasure or B2 medical purposes
o Visa

Group B – SECONDARY ACCEPTABLE ID

In the absence of a primary form of identification, the secondary identification serves to establish identity; however, the
customer is required to produce either two pieces of secondary identification of different types, or one piece of secondary
identification plus two pieces of support identification of different types. The secondary identification is classified as
government issued documents, documents that require identification to establish, or documents that contain biometric
identifiers. Consular Certification documents from El Salvador and Honduras are accepted as foreign identification with
identifiable photo of applicant. The Mexican Matricula Consular and Honduran Matricula consular, also known as the
Honduran consular ID, is not accepted.

 Current student ID
 Any Primary Acceptable ID from Group A that is expired
 Signed Social Security card or Numident
 DD Form 214 Certificate of Release
 Medicaid card or Medicare card
 Veterans Affairs card
 Medical insurance card
 Foreign passport accompanied by a visa issued by the U.S. Department of State
 Foreign passport in accordance with the U.S. Department of State, Visa Waiver Program
 Certified birth certificate from the U.S. Department of State (FS‐240, DS‐1350, or FS‐545)
 Private company employment ID card
 Form I-94 - accompanied by the applicant's visa or passport
 Mexican voter registration card
 Foreign identification with identifiable photo of applicant (including El Salvador consular certification, El
Salvadoran Unique Identity Card [DUI], and Honduran consular certification)
Group C – SUPPORTING DOCUMENTS
These items consist of other records or documents that aid examining personnel in establishing the identity of the
applicant. The following items are not all inclusive. The examining or supervisory personnel may determine that an
unlisted document meets the department’s needs in establishing identity.

 Recent utility bill or cell phone bill with current address

 Recent paycheck stub
 Any Secondary Acceptable ID from Group B that is expired
 Public assistance applications or letters
 Signed valid voter’s registration card
 Police report of stolen ID
 Official school transcript
 Bank account statement
 Social Security letter
 Marriage license or divorce decree
 Certified birth certificate from a state other than Texas, District of Columbia, or other country
 Automobile insurance card or contract
 Lease agreement
 Loan or installment payment contract
 Promissory note or loan contract
 Court order
 Property title or lien
 Automobile title or registration
 Library card
 Fishing or hunting license
 Recent medical record or bill
 Religious record with signature of religious official
 Recent rent receipt with address and name
 Federal, state, or local tax records
 U.S. Department of Homeland Security notice or correspondence

Updated September 08, 2020

 Documentos de identificación aceptables
La Oficina de Estadísticas Vitales acepta los siguientes documentos de
identificación*:
 Presente UNO (1) del GRUPO A.
 De no poseer ninguno de los documentos del grupo A, presente DOS (2)
del GRUPO B.
 De no poseer ninguno de los del grupo A o no poseer dos documentos grupo B,
presente UNO (1) del grupo B y DOS (2) del GRUPO C.
*Para obtener más información sobre la identificación de solicitantes calificados y la documentación de
respaldo, vea el artículo 181 inc. 28, título 25 del Código Administrativo de Texas.

Grupo A – DOCUMENTOS DE IDENTIFICACIÓN PRIMARIOS

Identificación primaria: estos elementos están completos dentro de sí mismos y no requieren instrumentos de apoyo.
Todo esto no puede expirar por más de 90 días y debe incluir una foto. [TAC 181.28(i) (10) (C)]

 Licencia de conducir.
 Documento de identificación federal o estatal.
 Documento de identificación militar.
 Pasaporte expedido por los EE.UU.
 Licencia para portar armas de fuego.
 Licencia de piloto.
 Credencial de empleado de las fuerzas de seguridad (federales, estatales o locales).
 Identificación de delincuente emitida por el Departamento de Justicia Penal de Texas o identificación
emitida por un centro o institución penal federal o estatal de los EE. UU.
 Documentos expedidos por el Servicio de Ciudadanía e Inmigración del Departamento de Seguridad
Nacional de los EE. UU., a saber:
o Documento de autorización de empleo (EAD, por sus siglas en inglés);
o Tarjeta de residencia;
o Documentos de viaje:
 Permiso de reingreso;
 Permiso de viaje para refugiados;
 Permiso de viaje para regresar a los EE. UU. (advance parole);
o Tarjeta SENTRI (de proceso rápido para viajeros preaprobados y de bajo riesgo);
o Documento de ciudadanía de los EE. UU.
 Documentos expedidos por el Departamento de Estado de los EE. UU.:
o Tarjeta de cruce fronterizo (B1 para fines profesionales o turísticos, o B2 por motivos de
salud);
o Visa

Grupo B – DOCUMENTOS DE IDENTIFICACIÓN SECUNDARIOS

Identificación secundaria: en ausencia de una forma primaria de identificación, la identificación secundaria sirve para
establecer la identidad; sin embargo, se requiere que el cliente produzca dos piezas de identificación secundaria de
diferentes tipos, o una pieza de identificación secundaria más dos piezas de identificación de soporte de diferentes tipos.
La identificación secundaria se clasifica como documentos emitidos por el gobierno, documentos que requieren
identificación para establecerse o documentos que contienen identificadores biométricos. Los documentos de certificación
consular de El Salvador y Honduras se aceptan como identificación extranjera con una fotografía identificable del
solicitante. La matrícula consular hondureña y mexicana, también conocida como la identificación consular
hondureña, no se acepta. [TAC 181.28(i) (11) (C)]

 Identificación de estudiante vigente.

 Cualquier documento de identificación primario perteneciente al grupo A que haya vencido.
 Credencial o constancia (Numident) del seguro social.
 Certificado de baja: Formulario DD 214.
 Credencial de Medicaid o Medicare.
 Credencial de identificación emitida por el Departamento de Asuntos del Veterano.
 Credencial de seguro de salud.
 Pasaporte extranjero acompañado de una visa emitida por el Departamento de Estado de los EE. UU.
 Pasaporte extranjero de conformidad con el Programa de Exención de Visado del Departamento de Estado
de los EE. UU.
  Acta de nacimiento con certificación del Departamento de Estado (FS-240, DS-1350, o FS-545).
 Credencial de empleado de una empresa privada.
 Formulario I-94, acompañado de la visa o el pasaporte del solicitante.
 Credencial electoral de México.
 Documento de identificación extranjero con fotografía distinguible del solicitante (por ejemplo, el
Certificado Consular de El Salvador, el Documento Único de Identidad de El Salvador (DUI) o el
Certificado Consular de Honduras).

Grupo C – DOCUMENTOS DE CORROBORACIÓN

Identificación de respaldo: estos elementos consisten en otros registros o documentos que ayudan al personal examinador
a establecer la identidad del solicitante. Los siguientes artículos no incluyen todo. El personal de examen o supervision
puede determinar que un documento no listado cumple con las necesidades del departamento para establecer la identidad

 Factura reciente de servicios públicos o de servicios de telefonía celular con domicilio actual.
 Recibo de sueldo reciente.
 Cualquier documento de identificación secundario perteneciente al grupo B que haya vencido.
 Solicitudes o cartas de asistencia pública.
 Credencial electoral válida y firmada.
 Denuncia policial de robo de documento de identificación.
 Certificado de estudios oficial.
 Estado de cuenta bancaria.
 Carta del seguro social.
 Licencia para contraer matrimonio o sentencia de divorcio.
 Acta de nacimiento con certificación de un estado distinto a Texas, del Distrito de Columbia o de otro país.
 Credencial o contrato de seguro de automóvil.
 Contrato de alquiler.
 Contrato de préstamo o plan de pagos.
 Pagaré o contrato de préstamo.
 Orden judicial.
 Título de propiedad o constancia del derecho de embargo sobre un inmueble.
 Título o registro de un automóvil.
 Credencial de biblioteca.
 Licencia para pescar o cazar.
 Historia clínica o factura médica reciente.
 Constancia religiosa firmada por una autoridad religiosa oficial.
 Recibo de alquiler reciente que contenga domicilio y nombre.
 Registros impositivos federales, estatales o locales.
 Notificaciones o correspondencia enviadas por el Departamento de Seguridad Nacional.

Última actualización 08 de septiembre de 2020