Town Clerk
14 Court Square
Greenfield, MA 01301
Telephone: (413) 772-1555
Fax: (413) 772-1542
Office Hours: Monday through Friday: 8:30 a.m. - 5:00p.m.
REQUEST FOR BIRTH RECORD
Please type or print the following information when requesting a birth certificate:
Name at time of birth: ______________________________________
Date of birth: ______________________________________
Place of birth: ______________________________________
Maiden name of mother: _____________________________________
Father’s name: _____________________________________________
Name of person making request: _______________________________
Relationship to person on birth record: __________________________
Mailing Address: ___________________________________________
____________________________________________
_______________________________________________________________________________________
SIGNATURE OF APPLICANT TELEPHONE NUMBER
FEE FOR BIRTH CERTIFICATES
• The fee for a certified copy is $10.00 per copy.
• Make check or money order payable to the Town of Greenfield.
• Enclose a self-addressed stamped envelope.
If the parents were not married at the time of birth of a child or a father was not listed, the record is only available to those persons listed on the birth certificate after proof of identification. Mail in requests for these records should include a photocopy of a driver's license or similar identification.
If a person was born in Greenfield or in another community in the State and their parents resided in Greenfield, a certified copy can be obtained through the Greenfield Town Clerk's Office in most instances.
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