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For credit card payments, the cardholder must sign the form authorizing charges to the amount in box 27.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},307789,1790079157,{"code":4,"msg":82,"data":83},"success",{"doc_id":79,"user_id":84,"nickname":42,"user_avatar":85,"doc_module":4,"category_id":86,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":87,"file_id":88,"file_url":89,"file_type":90,"file_size":91,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":92,"language":93,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":94,"faqs":95,"seo_title":96,"seo_description":12,"update_tm":97,"read_time":98},5909877438554,"https://ap-avatar.wpscdn.com/avatar/5600025385ad2bf12a7?_k=1778553567797529272",7,"Important  \n\n| BIRTH |\n| --- |\n| Application for a Certificate or Copy of an Act |\n\n\n| Version 2026-2027 |\n| --- |\n| In effect until March 31, 2027 |\n\nN FO−11−13  \n20260610  \n.Read the general information and instructions.  \n.Complete all sections of the form in block letters (uppercase, lowercase, accented characters), in black or blue indelible ink.  \n.Include the payment and two photocopies of documents issued by two separate organizations that will allow us to establish your identity, i.e. a photocopy of a valid photo ID and signature anda photocopy of a valid proof of home address.  \n\n| \u003Cbr>i | This pictogram refers you to page 4 of the general information and instructions. |\n| --- | --- |\n\n.Sign and date Section 4.  \n1. Surname  \n3. Home address (number, street)  \n5. Province  \ni  \ni 2. Usual given name  \nApartment 4. City, town, village or municipality  \n6. Postal code 7. Country  \nBefore starting  \nPrint the form  \nDelete data entered  \n8. Area code Phone number (home) 9. Area code Phone number (other) Extension  \ni Email (only if you wish to be contacted by email)  \n10. If your application concerns someone other than yourself or your child, give the 11. Does the application concern someone who is deceased? reason for your application and attach a photocopy of an official document as proof.  \nYes No  \nSection 1: Information on the applicant   \ni  \ni  \n\n| \u003Cbr>|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| 12. Surname\u003Cbr>\u003Cbr>i |  | 13. Usual given name\u003Cbr>\u003Cbr>i |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 14. Other given names (each given name separated by a comma) |  | 15. Sex designation |  |  |  |  |  | Non−binary (X) | 16. Date of birth\u003Cbr>Year\u003Cbr>Month\u003Cbr>Day |  |  |  |  |  |  |  |\n|  |  |  |  | Male |  | Female |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| 17. Place of birth (city, town, village or municipality, province or country, if abroad) |  | 18. Place of registration of birth if it occurred before 1994\u003Cbr>(parish, place of worship, city, town, village or municipality)\u003Cbr>\u003Cbr>i |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Parents | 19. Surname and usual given name of parent |  |  |  |  |  |  |  | 20. Relationship |  |  |  |  | Mother\u003Cbr>\u003Cbr>Parent |  |  |\n|  |  |  |  |  |  |  |  |  |  |  | Father |  |  |  |  |  |\n|  | 21. Surname and usual given name of the other parent |  |  |  |  |  |  |  | 22. Relationship |  |  |  |  | Mother |  | Parent |\n|  |  |  |  |  |  |  |  |  |  |  | Father |  |  |  |  |  |\n\n\n| Section 3: Documents requested − The following fees are in effect until March 31, 2027. |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| You can mail your application. The cost varies accordingly. The documents you order will be sent to you by mail. |  |  |  |  |\n| Normal processing − Enter the number of documents requested. |  | 27. Total\u003Cbr>\u003Cbr>= | $ CA   i\u003Cbr>|  |\n| 23. Certificate\u003Cbr>  x $55.00 = $   | 24. Copy of an act\u003Cbr>+   x $64.25 = $  \u003Cbr>|  |  |  |\n| Accelerated processing − Enter the number of documents requested. |  |  |  |  |\n| 25. Certificate\u003Cbr>  x $82.25 = $   | 26. Copy of an act\u003Cbr>+   x $82.25 = $  \u003Cbr>|  |  |  |\n|  |  | \u003Cbr>= | Please ensure that the total amount due is entered in Box 27. |  |\n\n\n| 28. I solemnly declare that, to the best of my knowledge, the information provided is accurate and that I have the right to obtain the documents requested.\u003Cbr>X  The application must be signed and dated.  i\u003Cbr>Applicant’s signature (mandatory)\u003Cbr>| 29. Date\u003Cbr>Year Month Day\u003Cbr>|\n| --- | --- |\n\nSection 4: Applicant’s declaration  \n| 30. | | Postal or bank money order |  |  |  | | Cheque |  | } Payable to Directeur de l’état civil |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| 31. Credit card\u003Cbr>\u003Cbr>|  |  | Credit card number\u003Cbr> |  |  |  | \u003Cbr>|  |  | X | I authorize the Directeur de l’état civil to charge to","cbCaihtYex3RDyTU","https://ap.wps.com/l/cbCaihtYex3RDyTU","pdf",221559,5,"English","# General Information and Instructions\n## Before starting\n## Section 1: Information on the applicant\n## Section 3: Documents requested\n## Section 4: Applicant’s declaration\n## Section 5: Methods of payment","[{\"question\":\"How should the form be completed (font and ink)?\",\"answer\":\"Complete all sections in block letters (uppercase, lowercase, accented characters) using black or blue indelible ink.\"},{\"question\":\"What documents are required to establish identity and address?\",\"answer\":\"Include the payment and two photocopies of documents from two separate organizations: a photocopy of a valid photo ID with signature and a photocopy of a valid proof of home address.\"},{\"question\":\"What payment options does the form include?\",\"answer\":\"Payment can be made by postal or bank money order or cheque, and also by credit card. For credit card payments, the cardholder must sign the form authorizing charges to the amount in box 27.\"}]","BIRTH - Application for a Certificate or Copy of an Act - Version 2026-2027 | PDF",1789855311,13,{"code":4,"msg":82,"data":100},[101,105,109,113,117,122,125,130,135,138,142],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},"Exam",70,"exam",{"id":92,"doc_module":4,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},"Comic",60,"comic",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},6,"Technology",50,"technology",{"id":86,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":123,"slug":124},40,"healthcare",{"id":126,"doc_module":4,"doc_module_name":25,"category_name":127,"show_sort_weight":128,"slug":129},8,"Research & Report",30,"research-report",{"id":131,"doc_module":4,"doc_module_name":25,"category_name":132,"show_sort_weight":133,"slug":134},9,"Religion & Spirituality",20,"religion-spirituality",{"id":133,"doc_module":4,"doc_module_name":25,"category_name":136,"show_sort_weight":133,"slug":137},"World Cup","world-cup",{"id":139,"doc_module":4,"doc_module_name":25,"category_name":140,"show_sort_weight":139,"slug":141},10,"Lifestyle","lifestyle",{"id":143,"doc_module":4,"doc_module_name":25,"category_name":144,"show_sort_weight":92,"slug":145},19,"General","general"]