(Name of Parent) (Name of Representative) to claim a copy of Authenticated PSA Birth Certificate of my child . A completed Birth Certificate Application Form.Additionally, you will need to provide: Full name of the person on the certificate. Find below, an example of authorization letter for PSA to adapt to your personnal needs. You can also download this document in word format. 1. Get an Application Form - Birth Certificate (White Form) from the Information Marshal's booth and fill-out the required information in PRINTED LETTERS. No information is available for this page. Acting Nassau County District Attorney Madeline Singas announced that a Bay Shore man pleaded guilty yesterday for his role in a July 2014 crash.

Sample Authorization Letter For Psa Birth Certificate In Nassau

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