2. TOWN OF NEWTON
   REGISTRAR'S OFFICE
   39 TRINITY STREET
   NEWTON, NJ 07860
   (973) 383-3521 / (973) 300-1208 - FAX
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6. Duplicate Birth Certificates are $20.00 for initial copy and $5.00 for each additional copy of the same record requested at the same time. Money order paybale to "Town of Newton". Please include a self-addressed, stampe envelope. Mail your request to the above address.
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10. Please include: copy of your photo ID showing address or Photo ID without address and one (1) other form of ID showing shipping address, or two (2) alternate forms of ID showing shipping address. We will only ship to the address on your ID.
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14. Acceptable Forms of Alternate ID:

    1. Non-Photo Driver's License
    2. Passport
    3. Utility Bill
    4. Vehicle Registration
    5. School ID
    6. Green Card
    7. Voter Registration
    8. Insurance Card
    9. County ID
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18. Please complete the following information:
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22. First Name: *
23. Middle Name: *
24. Birth(Last)Name:*
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28. Place of Birth:*
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32. Date of birth: (mm/dd/yyyy)*
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36. Name of Father: (when recorded)*
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40. Maiden name of mother: *
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44. Date of request:(mm/dd/yyyy)*
45. Number of copies:*
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49. For what purpose is certificate needed?
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53. Your name and mailing address:*
54. Telephone Number:(include area code)
55. Your relationship to the above named?
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56. Print Only

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