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This version of the form is not currently in use and is provided for reference only. Download this version of
Form H105.102
for the current year.
Form H105.102 Application for a Birth Certificate - Pennsylvania
What Is Form H105.102?
This is a legal form that was released by the Pennsylvania Department of Health - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form H105.102?
A: Form H105.102 is the Application for a Birth Certificate in Pennsylvania.
Q: What is the purpose of Form H105.102?
A: The purpose of Form H105.102 is to apply for a birth certificate in Pennsylvania.
Q: What information is required on Form H105.102?
A: Form H105.102 requires information such as the individual's name, date of birth, place of birth, parent's names, and requester's contact information.
Q: Can I request a birth certificate for someone else using Form H105.102?
A: Yes, you can request a birth certificate for someone else using Form H105.102 if you have appropriate legal authority or a direct interest in the birth record.
Form Details:
- Released on June 1, 2018;
- The latest edition provided by the Pennsylvania Department of Health;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form H105.102 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Health.
