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Contra Costa County


Vital Documents Request

Contra Costa County can only supply documents recorded in Contra Costa County.

Additional Information Required.

In addition to submitting the online order form, a signed and notarized statement, provided below, must be faxed to Contra Costa County.


If your application forms are not received within 10 calendar days, your order will be cancelled.


Contact Information
Name:
Address:
City
State:
Zip Code:
Daytime Phone Number:
Email:

Document Information
Name on
Document

Last, First Middle (if Marriage, include both Groom and Bride w/ maiden name.)

Type of
Document

Certified copies have the County Seal on it to guarantee authenticity.

Number of
Copies



Date of Event (Birth/Death)Mon: Day: Year:
The date of Birth, Death, or Marriage.

Shipping
Method