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Registrar - Vital Statistics

Vanessa Clouden
Certified Municipal Registrar
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P: 609-877-2200 xt:1011

Birth Certificate Request

  pdf Click here to download a Birth Certificate Request Form. (1.54 MB)

You can also obtain a hard copy of the application at the Vital Statistics window in the Municipal Building (please note the Vital Statistics hours of operation).

Use this form to apply for:


A document "for informational purposes only" (no raised seal).

Certified Copy

Also known as the "Long version," a certified copy will contain the raised Seal of the Township of Willingboro and can be used for legal purposes. (This document is usually obtained to get a Passport application, Military benefits, Insurance claims, and Drivers licensees).



To obtain a vital record, please remit your application, payment, and supporting documents in person at the Vital Statistics window in the Municipal Building.

For mail order requests, submit a brief letter indicating the person's birth name, date of birth, mother's name:including mother's maiden name, father's name, and a clear copy of your photo ID.

Fees & Payment

There is a $25 fee for a Certified Copy / Certification of Vital Record application. Personal checks, money orders, and cash are accepted.

Make check or money order payable to:

Willingboro Township

Mail to:

1 Rev. Dr. M.L. King, Jr. Drive
Willingboro, New Jersey 08046


The required documents to obtain a Certified Copy / Certification of Vital Record application are:

  • A valid driver's license, or
  • State issued identification, or
  • Two alternate forms of identification with name and address.
  • The $25 fee for every record requested.