www.vitalchek.com
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66.241.57.29
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URL:
https://www.vitalchek.com/order_main.aspx?EventType=BIRTH
Submission: On May 25 via manual from US — Scanned from DE
Submission: On May 25 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: aspnetForm — POST order_main.aspx
<form name="aspnetForm" method="post" action="order_main.aspx" id="aspnetForm" target="_top">
<div>
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
value="FQg8kDWbYdWGzlLHkfHu4Y3DDKSHuhy12Hj9oRJrCxay3Q1jg8YFZ6eFUnZld4EX66ZAuikHBM30jZ/uNi/hb5ErPHHT0B55Y1MCTga65b2uJ/f6Calc0sU6r5I+/wyVWMWEqTQy7wAS8ldn3hFlROv0wGzm95uQUk9Ls4YqF3rggJtCiCNajGS19PTWwzpjZAC/lCaVSLkv6POISONTpP8+09IDrFqPgJ61ZIH1ZZu9U4AtpMvT0pvwCcVGM0FHTPTRGjENohpxjmkc4PqqBhoAJ2p3t1GwtaEJXMbaO71pZeblTsg3efmteLxFaCF9R36aCnRsR3J9u1mSxyJSBuxalIZys5xEmy0KtTs3nMyr8gYSLRv+U14vQJnDy01gtBC00lOttrnF9Yk84UcJ7Tmmp5g05hOwkss9DM+EQ6zz6iC0XDSlO1cCDEwF9KtJF6vL16eAS3ySKUhrzUfh/ikZk3CdPFYvCHy+bgNsVRl/6jfgzCDpDTDxwm80k7ZgYfHGikcj58WcbF+hmObjlm9aXQY150qL92PmVWgp9unTPl9tHYVN6kWpO/gERtfhox9CKdBYb4/St8E/FBFpmSDg9THVDH7OUd/kx+uYfdS3qjld6rTDEVfS8MvpxrM/gIYvKrJ16QYFZrPoLWWSgL7fILlraOR7jVJ5fIpe5/P5RWFSgL0XRRprVZW/VmMNdi7j60JWcPP3NuNIsxz5dUzIag56yhHV7YOI/ETJgt7W/RCahkRyUaqhRlMXRr5Am/xSgHE+Umbth7p9TfBW8VKoeZNFsaKY8B25j1SqltyWV4Npo0lNbea2V0P5JZ+5TX4EPFQiDPu8DKfVRGnV6jlrt2VUBjhdh7cYlRvVOP3erDleHm7mMu+xE0c7VJfWQbG4nzVMtMmy1hg1LKXFJnTv+EQuJS0//ieJ9Ce5vogRYDeUmA0b7urwGvaXC45y00e0g9vGJfDdUDlNrMUm69eRMOzOJCmG/4ucFk5DfrKQ1qktY7reV84NHyH2sOT/eIfm0mciqqHZUXVNQzcMqGSEQTZnXglZRqSW+dJ9w5U5vznt6RT590Haeh0Wqu5vUwN9T7t7rzFKUFbwNFiuUELiNbsEMB/dPzBrXtpRoEjDrTWcPK1Zum5FmifY3qFR/K/sXfYZ5aKatRJSU7HMEBXNVtcYPCYaGz+dIjZp6/yok3ZJwNoypqSK/PkqM/LwgCoWFXiJi9ry8Z128xwrx6vqtPT/XC92Enesh6RM4FZc4PvWQY4PEMD2+84a90Pmgm/wjNQd8ccO5Vx/1bDJVArqY8zSZe5WTDa8PmcwGe92SKkLBwlc0PKQLbxqeN0tfslm3iVmuZUfyatPmSLzQhbv6a51PYzxbZTqHpbXCQEH9SbL49+3S4FYtTUOh9Nr7/a5BxaRXVckHf5T6v0gV1F3OwUhhrvzXwS2xg==">
</div>
<div>
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="46D0C2B5">
</div>
<div><input type="hidden" id="navigateNameHiddenField" name="navigateNameHiddenField"></div>
<div id="bodyDiv">
<header id="headerDiv">
<nav class="navContainer">
<h2 class="hiddenNavHeader">Main Navigation</h2>
<div class="navGrid">
<div id="topRowNav">
<div class="navCell hilite"></div>
<div class="navCellFillTopRight"></div>
</div>
<div id="bottomRowNav">
<ul class="navLinkList">
<li class="navCell">
<a href="/home.aspx" id="Home" title="Home page for VitalChek Express Certificate Service">HOME</a>
</li>
<li class="navCell">
<a href="/content/whatwedo.aspx" id="AboutUs" title="About Us" target="_blank">ABOUT US</a>
</li>
<li class="navCell">
<a href="/content/contact-us.aspx" id="ContactUs" title="Help" target="_blank">HELP</a>
</li>
<li class="navCell">
<a href="#" id="headerFrequentlyAskedQuestions" title="Frequently Asked Questions about our Vital Records Express Certificate Service" onclick="showFAQPopup();">FAQS</a>
</li>
<li class="navCell">
<a href="#" title="Español" onclick="setDesiredLanguage('es-MX');">ESPAÑOL</a>
</li>
</ul>
</div>
</div>
</nav>
<div class="logoAndMenu">
<h2 class="logo">
<img id="headerLogo" alt="VitalChek Logo" src="/images/landing/VC_LN_tagline2.png">
</h2>
<nav id="global_menu" class="phHidden">
<ul>
<li class="globalMenuPlaceOrderli">
<a href="/vital-records" title="Place an order for your birth certificate, death certificate, marriage record or divorce record" id="place_an_order_anchor" class="place_an_order_anchor">PLACE AN ORDER</a>
</li>
<li class="globalMyOrderli">
<a href="/order-status-signon.aspx" title="Get the status of your order" id="order_status_anchor" class="order_status_anchor">VIEW ORDER STATUS</a>
</li>
<li class="globalPricingUpFrontli" style="visibility: visible;">
<a href="#" title="" id="pricing_up_front_anchor" class="PricingOpenDialog">PRICING INFO</a>
</li>
<li class="globalPricingUpFrontli" style="visibility: visible;">
<a href="#" title="" id="pricing_up_front_processing_anchor" class="ProcessingOpenDialog">PROCESSING TIMES</a>
</li>
</ul>
</nav>
</div>
</header>
<div class="middleDiv" data-mobileposition="content">
<script type="text/javascript">
var CE_SNAPSHOT_NAME = "";
</script>
<noscript></noscript>
<script type="text/javascript" src="/js/underscore-min.js"></script>
<script type="text/javascript" src="/api/JS/Mapper.6994944.js"></script>
<script type="text/javascript" src="/api/JS/OrderMain.6994944.js"></script>
<script type="text/javascript" src="/api/JS/PopUp.6994944.js"></script>
<noscript></noscript>
<script type="text/javascript">
function OpenCallUsClientError() {
$('#CallToOrderModalClient').show();
}
function OpenCallUsServerError() {
$('#CallToOrderModalServer').show();
}
function closeCallToOrder(modalSelector) {
$(modalSelector).hide();
}
function OpenValidationErrorDialog(data) {
var dialogTitle = 'Please correct the following';
var closeButtonText = 'Return';
var dialogContent = '';
// list of message(s) pertaining to the validation error(s), could be one message or several
for (var i = 0; i < data.ErrorKeyViews.length; i++) {
if (data.ErrorKeyViews[i].GlobalizedMessage !== "") { // is not empty
dialogContent += "<li class='errorText'>" + data.ErrorKeyViews[i].GlobalizedMessage + "</li>";
}
}
$("#bodyDiv").data("is-showing-error", "true");
$("#bodyDiv").append($("<div id='validationErrors'><ul id='errorList'>" + dialogContent + "</ul></div>"));
$("#validationErrors").dialog({
//width: auto, /* absence of the "width" setting will default to 300 */
maxWidth: 500,
/* limit the width of the dialog to 500 pixels, overflow will be handled by word wrap */
//height: 300, /* absence of the "height" setting will default to "auto" */
maxHeight: 500,
/* limit the height of the dialog to 500 pixels, overflow will be handled by a scrollbar */
title: dialogTitle,
modal: true,
/* no user interaction with web page allowed until dialog is dismissed via the 'Close' button */
closeOnEscape: true,
buttons: [{
text: closeButtonText,
id: 'btnClose',
click: function() {
$("#bodyDiv").data("is-showing-error", "false");
$(this).dialog("close");
}
}],
close: function() {
$(this).remove();
},
dialogClass: 'center-dialog-buttons'
})
}
</script>
<div id="CallToOrderModalClient" class="modalWindow">
<div id="CallToOrderContentDivClient">
<p>Please Call Us to Complete Your Order</p>
<p>We've experienced a system or network error while processing your request.</p>
<p>Please call 877-858-9940 for assistance with your order, or try again in a few minutes.</p>
<p></p>
<a href="#" class="flatbutton" title="Close Window" onclick="closeCallToOrder('#CallToOrderModalClient');">Close</a>
</div>
</div>
<div id="CallToOrderModalServer" class="modalWindow">
<div id="CallToOrderContentDivServer">
<p>Please Call Us to Complete Your Order</p>
<p>We've experienced a system or network error while processing your request.</p>
<p>Please call 866-559-9633 for assistance with your order, or try again in a few minutes.</p>
<p></p>
<a href="#" class="flatbutton" title="Close Window" onclick="closeCallToOrder('#CallToOrderModalServer');">Close</a>
</div>
</div>
<main role="main" aria-labelledby="stepHeader">
<div id="fullOrderPageDiv" style="display:none">
<div id="fullOrderContentDiv" aria-live="polite" aria-busy="false">
<div id="fullOrderQuestionDiv">
<div id="fullOrderHourglassDiv" aria-hidden="true" style="display: none;">
<span>Updating Your Order...</span><br>
<img id="fullOrderHourglassImg" src="/images/Portal/VitalChek/background/loading_small.gif" alt="Updating Your Order...Full">
</div>
<div id="fullOrderStepContent" style=""></div>
</div>
</div>
</div>
<div id="orderPageDiv">
<div id="orderContentDiv" aria-live="polite" aria-busy="false">
<div id="questionDiv">
<div id="hourglassDiv" aria-hidden="true" style="display: none;">
<div id="loadingHourGlassSpinnerDiv" class="hourGlassSpinnerDiv">
<img id="orderStepHourglassImg" src="/images/Portal/VitalChek/background/loading_small.gif" alt="Updating Your Order...Regular" height="16px" width="16px"> <span class="hourGlassSpinnerDivText">Updating Your Order...</span>
</div>
</div>
<div id="stepContent" style="">
<h1 class="orderStepHeader"> Whose Birth certificate are you ordering? </h1>
<div id="centerStepContentApplicantName" data-gtm-vis-recent-on-screen-56987756_8="1693" data-gtm-vis-first-on-screen-56987756_8="1693" data-gtm-vis-total-visible-time-56987756_8="100" data-gtm-vis-has-fired-56987756_8="1">
<div id="applicantNameRadioContent">
<fieldset id="WhosCertificate" class="baseFieldset" aria-labelledby="ctl00_stepHeader">
<legend id="LgndWhosCertificate" class="baseLegend" aria-labelledby="ctl00_stepHeader"></legend>
<input type="radio" id="BusinessUnitFilterEnterApplicantName_YesRadio" name="BusinessUnitFilterEnterApplicantName_yesno" class="YesNoRadio" onclick="BUFEnterApplicantName.showNameLabel();" value="1"><label
id="ctl00_YesRadioLabel" for="BusinessUnitFilterEnterApplicantName_YesRadio" class="largeLabelText"> My Birth Certificate</label><br>
<br>
<input type="radio" id="BusinessUnitFilterEnterApplicantName_NoRadio" name="BusinessUnitFilterEnterApplicantName_yesno" class="YesNoRadio" onclick="BUFEnterApplicantName.showNameLabel();" value="0"><label id="ctl00_NoRadioLabel"
for="BusinessUnitFilterEnterApplicantName_NoRadio" class="largeLabelText"> Another Person's Birth Certificate</label>
</fieldset>
</div>
<div id="nameDiv">
<div id="applicantNameNameFieldDiv">
<fieldset class="applicantNameFieldSet">
<legend id="applicantNameCurrentLegalName">
<span id="selfNameLabel" class="applicantNameLargeLabel">Your Current Legal Name: </span>
<span id="personsNameLabel" class="applicantNameLargeLabel">Their Name As It Appears on Birth Certificate: </span>
</legend>
<div class="nameDivContainer">
<div class="applicantNameDiv">
<input type="text" id="firstNameEdit" class="editBoxLargeApplicantName" maxlength="24" value="">
<label for="firstNameEdit" class="smallLabel">First</label>
</div>
<div class="applicantNameDiv">
<input type="text" id="middleNameEdit" class="editBoxLargeApplicantName" maxlength="24" value="">
<label for="middleNameEdit" class="smallLabel">Middle</label>
</div>
<div class="applicantNameDiv">
<input type="text" id="lastNameEdit" class="editBoxLargeApplicantName" maxlength="50" value="">
<label for="lastNameEdit" class="smallLabel">Last * </label>
</div>
<div class="applicantNameSuffixDiv">
<p id="suffixApplicantName"><select name="suffixEdit" id="suffixEdit">
<option selected="selected" value=""></option>
<option value="2815">Jr.</option>
<option value="2816">Sr.</option>
<option value="2817">I</option>
<option value="2818">II</option>
<option value="2819">III</option>
<option value="2820">IV</option>
<option value="2821">V</option>
</select></p>
<label for="suffixEdit" class="smallLabel">Suffix</label>
</div>
</div>
<div id="applicantNameSurnameLabel">
<label for="lastNameEdit" class="smallLabel"> * If ordering a Puerto Rico certificate, please include both last names in the last name field. </label>
</div>
</fieldset>
</div>
</div>
</div>
<div id="stepButtonDiv" data-mobileposition="navbutton">
<nav>
<ul class="Navigation">
<li>
<a href="#" id="backButton" class="flatbutton" title="Back" data-action-type="gotopagehistory" data-location="" data-remove-index="">Back</a>
</li>
<li>
<input type="submit" id="continueButton" class="flatbutton" value="Continue" onclick="BUFEnterApplicantName.saveData();nextStep();return false;">
</li>
</ul>
</nav>
</div>
</div>
</div>
</div>
<div id="orderRightDiv">
<div id="orderSummaryDiv" role="region" aria-labelledby="orderSummaryHeader" style="">
<script type="text/javascript">
function DeleteOrderItem() {
var results = {
DialogTitle: 'Are you sure?',
ViewRemoveDialogContent: 'Hitting "OK" will permanently remove the item from your order.',
ViewCheckoutDialogContent: 'You have initiated a second request. Since you clicked the Checkout button, we assume that you have changed your mind and only want the first item in your cart. If so, please click OK below. Otherwise, click Cancel to proceed with your second request.',
OKButtonCaption: 'OK',
CancelButtonCaption: 'CANCEL'
}
return results;
}
</script>
<h2 id="orderSummaryHeader">Order Summary</h2>
<div id="orderSummaryContent" aria-live="polite" aria-busy="false">
<div id="orderSummarySpinner" aria-hidden="true" style="display: none;">
<img src="/images/Portal/VitalChek/background/loading_small.gif" alt="Please wait...">
<span id="orderSummarySpinnerText"> Please wait... </span>
</div>
<div id="orderSummaryInner">
<div id="moreSummary" class="moreSummaryDiv">
<div class="orderSummaryTable divTable">
<div id="ctl00_pnlFilterAgency">
<div class="divTableRow">
<div class="divTableCell">
<h3 id="orderSummaryInfoAboutEvent">Information about the event:</h3>
</div>
</div>
<div id="filter_summary_info" class="divTableRow">
<div class="divTableCell">
<div id="ctl00_certImgDiv" class="orderSummaryCertImgDiv">
<img id="ctl00_certImage" title="Example of what a government issued birth certificate looks like" class="orderSummaryCertIcon" src="/images/Portal/VitalChek/logos/birth_cert_pic.gif"
alt="Example of what a government issued birth certificate looks like" style="border-width:0px;">
<br>
<span id="ctl00_certSummaryDiv" class="certSummary">Government Issued</span>
</div>
<div id="ctl00_businessFilterPanel" class="orderSummaryBusinessFilterPanel">
</div>
</div>
</div>
<div class="divTableRow">
<div class="divTableCell">
<p id="orderSummaryVitalchekText">VitalChek is a fast and convenient way to order certified government-issued vital records online -- <strong>usually taking less than 10 minutes.</strong></p>
<br>
<p id="orderSummaryAgenciesText">When you need to order your vital record online, VitalChek is the go-to partner of more than 500 state and local vital record agencies nationwide.</p>
</div>
</div>
</div>
<div class="divTableRow">
<div class="divTableCell">
<div id="orderSummaryProductRepeater" style="overflow:auto;height:10.625rem;;">
<div class="divTable">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="orderFAQDiv" style="" role="region" aria-labelledby="orderFAQHeader">
<h2 id="orderFAQHeader">Order Tips</h2>
<div id="orderFAQContent" aria-live="polite">
<ul class="orderTipList">
<li class="orderTipListItem"><a href="javascript:viewFAQBody('43','Return', 'Order Tips')">Why do you need to know if I am ordering my own certificate?</a></li>
</ul>
</div>
<div id="conditionalChatLinkContainer" class="rn_ConditionalChatLink rn_ChatAvailable">
<div id="myChatLink" style="display: none;" class="rn_ChatAvailable"><a id="rn_myChatInstance_Link" href="javascript:void(0);" onclick="myChatInstance.chatLinkClicked();">
<div id="myChatLinkInfo" class="rn_ChatAvailable">
<img aria-hidden="true" id="chatIcon" class="chatIcon" alt="Open to chat with a representitive" src="/images/Portal/VitalChek/icons/chat-icon.png">
<span>Agents are available with no wait time.</span></div>
</a>
</div>
</div>
</div>
</div>
</div>
</main>
<input type="hidden" id="PricingUpFrontUpdateAnchor" value="BusinessUnitFilterEnterApplicantName">
</div>
<footer>
<div id="footer" data-mobileposition="footer">
<div class="scenarioName" aria-hidden="true">ScenarioWebPlatformRedirect</div>
<div id="footer_links">
<ul id="footerLinkList">
<li>
<a href="#" onclick="showTestimonials();" title="Testimonials">Customer Testimonials</a>
<span>|</span>
</li>
<li>
<a href="#" title="Site Security" onclick="showSiteSecurity();">Site Security</a>
<span>|</span>
</li>
<li>
<a href="/content/privacy" target="_blank" title="VitalChek Privacy Policy">Privacy Policy</a>
<span>|</span>
</li>
<li>
<a href="/content/accessibility" title="Accessibility Statement">Accessibility Statement</a>
<span>|</span>
</li>
<li>
<a href="#" title="Site Map" onclick="showSiteMap();">Site Map</a>
<span>|</span>
</li>
<li>
<a href="https://risk.lexisnexis.com/terms" title="Legal" target="_blank">Legal</a>
</li>
<br>
<li>
<div class="copyright">
<a href="https://risk.lexisnexis.com/copyright" target="_blank">
Copyright © 2022
</a>
</div>
</li>
<li>
<span>LexisNexis Risk Solutions. All rights reserved.</span>
</li>
<li>
<span>ala-p-s-204.050922</span>
</li>
</ul>
</div>
<div id="footer_truste">
<ul id="footerIconList">
<li>
<a target="_blank" href="https://www.visa.com/splisting/viewSPDetail.do?spId=4169&coName=LexisNexis%20VitalChek%20Network%2C%20Inc.&HeadCountryList=U.S.A.&reset=yes&pageInfo=1%3B30%3BASC%3BcoName">
<img class="footerVisaGlobalRegistryIcon" alt="Visa Global Registry logo" title="Visa Global Registry logo" src="/images/Portal/VitalChek/visa.png">
</a>
</li>
<li>
<img class="footerAICPAIcon" src="/images/Portal/VitalChek/aicpa_logo.png" title="AICPA logo" alt="AICPA logo">
</li>
<li>
<a name="trustlink" href="https://secure.trust-guard.com/business/13595" rel="nofollow" target="_blank" onclick="var nonwin=navigator.appName!='Microsoft Internet Explorer'?'yes':'no'; window.open(this.href,'welcome','location='+nonwin+',scrollbars=yes,width=517,height='+screen.availHeight+',menubar=no,toolbar=no'); return false;" oncontextmenu="var d = new Date(); alert('Copying Prohibited by Law - This image and all included logos are copyrighted by trust-guard \251 '+d.getFullYear()+'.'); return false;">
<img class="footerTrustGuardIcon" name="trustseal" alt="Business Seals" style="border: 0;" src="//secure.trust-guard.com/seals/newbiz/13595-lg.gif">
</a>
</li>
</ul>
</div>
</div>
</footer>
</div>
</form>Text Content
Our mobile content is best viewed in the upright/portrait orientation. MAIN NAVIGATION * HOME * ABOUT US * HELP * FAQS * ESPAÑOL * PLACE AN ORDER * VIEW ORDER STATUS * PRICING INFO * PROCESSING TIMES Please Call Us to Complete Your Order We've experienced a system or network error while processing your request. Please call 877-858-9940 for assistance with your order, or try again in a few minutes. Close Please Call Us to Complete Your Order We've experienced a system or network error while processing your request. Please call 866-559-9633 for assistance with your order, or try again in a few minutes. Close Updating Your Order... Updating Your Order... WHOSE BIRTH CERTIFICATE ARE YOU ORDERING? My Birth Certificate Another Person's Birth Certificate Your Current Legal Name: Their Name As It Appears on Birth Certificate: First Middle Last * Jr. Sr. I II III IV V Suffix * If ordering a Puerto Rico certificate, please include both last names in the last name field. * Back * ORDER SUMMARY Please wait... INFORMATION ABOUT THE EVENT: Government Issued VitalChek is a fast and convenient way to order certified government-issued vital records online -- usually taking less than 10 minutes. When you need to order your vital record online, VitalChek is the go-to partner of more than 500 state and local vital record agencies nationwide. ORDER TIPS * Why do you need to know if I am ordering my own certificate? Agents are available with no wait time. ScenarioWebPlatformRedirect * Customer Testimonials | * Site Security | * Privacy Policy | * Accessibility Statement | * Site Map | * Legal * Copyright © 2022 * LexisNexis Risk Solutions. All rights reserved. * ala-p-s-204.050922 * * * Pricing Information and Processing Times Close Certificate Type: Birth Certificate Death Certificate Marriage Certificate Divorce Certificate State: --Select-- AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaWashingtonWest VirginiaWisconsin Year of Event: --Select-- Certificate Type Cost Using VitalChek* Authorized Service Cost Using Other Sites* Not Authorized Birth Certificate $__.__ - $__.__ $__.__ - $__.__ * These costs do not include the cost of shipping the record to you, nor any added Expedite Fees (if applicable) from the government agency issuing the certificate. The Agency Certificate Fee and the VitalChek Processing Fee are both included above and will vary depending upon the type of certificate ordered, which Agency within the selected State issues the certificate, and the level of processing services used at the issuing Agency. Delivery Method Processing Times* Using VitalChek Delivery Times* Express Delivery 0 - 0 business days Not Offered Regular Mail 0 - 0 business days Not Offered * Processing Times noted above are estimates only and include the time required for the government agency issuing the certificate to search for and prepare the certificate for shipping. Delivery Times noted above are based on average US domestic delivery services for both UPS Next Day Air and the US Postal Service standard mail. Shipments going to Alaska, Hawaii, Puerto Rico, or international destinations will require additional delivery time. OK