Form DH 1960TC, Application for Florida Birth Record, is the form used to order a certified Florida birth record, printed under the Brevard County Tax Collector's Office heading. The registrant (if 18 or older) or a parent listed on the record completes it and shows valid photo identification. On FillingPDF you can fill out the form online and download or print the completed PDF; the original is published by the Brevard County Tax Collector, and the application reaches the office through the channels the form lists.
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What is DH 1960TC?
Form DH 1960TC, Application for Florida Birth Record, is the form used to order a certified copy of a Florida birth record, printed under the Brevard County Tax Collector's Office heading and issued under Florida Administrative Code Rule 64V-1.0131.
Completing it produces an order for one or more Florida birth certifications. The form has three parts: Section A: Registrant Information (the child's name, date and place of birth, and parents), Section B: Applicant (the adult requesting the certificate) and Section C: Order & Fee Information (how many copies are ordered).
The instructions on the form explain that a computer certification is accepted by all state and federal agencies and used for any type of travel. It comes in two formats. For a registered birth from 2004 to present it lists the child's name, date of birth, sex, time, weight, place of birth (city, county and location) and the parents' information. For a registered birth from 1930 to 2003 it lists the child's name, date of birth, sex, county of birth and parents' names.
Despite the Tax Collector heading, this is a vital-records application, not a property tax form. Birth records under seal because of adoption, paternity determination or court order cannot be ordered with it in the usual manner.
Who needs to file DH 1960TC?
Birth certificates can be issued to the registrant, meaning the child named on the record, if he or she is of legal age (18), and to the parent or parents listed on the birth record. The applicant, either the registrant or a parent, completes the application and must provide valid photo identification.
Any person of legal age may be issued a certified copy of a birth record for a birth event that occurred more than 100 years ago, except for records under seal.
Do not use this form for a birth record under seal by reason of adoption, paternity determination or court order. The instructions direct you to write to the Bureau of Vital Statistics, ATTN: Records Amendment Section, P.O. Box 210, Jacksonville, FL 32231-0042.
Section B is for the adult requesting the certificate. A person ordering his or her own certificate enters "SELF" as the relationship to the registrant.
When to file DH 1960TC
Submit Form DH 1960TC whenever you need to order a Florida birth certification; no due date is printed on it. Birth registration was not required by state law until 1917, although some records on file date back to 1865, so the age of the birth affects what can be found.
The format of the certification depends on the year of birth: a registered birth from 2004 to present carries more facts than one from 1930 to 2003. A birth that occurred more than 100 years ago can be ordered by any person of legal age, unless the record is under seal.
The form states no processing time. For in-person service, the Florida Department of Health in Brevard County Office of Vital Statistics is open Monday through Friday from 8:00 A.M. to 4:00 P.M.; questions go to (321) 454-7163 from 8:00 A.M. to 4:00 P.M. Eastern Time.
Documents you need
- Valid photo identification of the applicant (the registrant or a parent): a driver's license, state identification card, passport and/or military identification card.
How to fill out DH 1960TC
Circle your service location
At the top, circle one location: Titusville - Main, Titusville - Park Ave, Indian Harbour Beach, Melbourne, Merritt Island, Palm Bay or Viera.
Enter the child's name
In Section A, enter the child's full name as shown on the birth record: first, middle, last and suffix.
Add any name change
If the name was changed since birth, enter the new name in the next row (first, middle, last, suffix).
Enter birth date, file number and sex
Write the month, day and 4-digit year of birth, the state file number if known, and the sex.
Enter place of birth
Give the hospital, the city or town and the county of birth.
Enter the parents' names
Write the mother's maiden name and the father's name, each with first, middle, last and suffix.
Complete the applicant information
In Section B, type or print the applicant's name, mailing address (with apartment number if applicable), city, state, ZIP code, and home and work phone numbers.
State your relationship and sign
Enter your relationship to the registrant, writing "SELF" if you are ordering your own certificate, and explain any name change. Sign in the applicant signature box.
Fill in the order quantity
In Section C, enter the number of Florida birth certifications ordered and, if applicable, the additional copies ordered at the same time.
Add your ID information
On the ID information line, enter the details of the photo identification you will present. Leave the office-use box blank.
Review and download the PDF
Check names, dates and the signature, then download or print the completed PDF from FillingPDF and use the channels under How to submit.
How to submit DH 1960TC
The form lists three ways to order from the Florida Department of Health in Brevard County Office of Vital Statistics: by mail, by fax and in person. Its header also names the Brevard County Tax Collector's Office, 400 South Street, 6th Floor, Titusville, FL 32780, and asks you to circle one location: Titusville - Main, Titusville - Park Ave, Indian Harbour Beach, Melbourne, Merritt Island, Palm Bay or Viera.
- By mail: Florida Department of Health in Brevard County, Vital Statistics, 2575 N. Courtenay Pkwy, Suite 104, Merritt Island, FL 32953.
- By fax: (321) 454-7164. An additional rush fee applies to fax requests.
- In person: 2575 N. Courtenay Pkwy., Suite 104, Merritt Island, FL 32953, Monday through Friday from 8:00 A.M. to 4:00 P.M.
- Records under seal: write to Bureau of Vital Statistics, ATTN: Records Amendment Section, P.O. Box 210, Jacksonville, FL 32231-0042.
Fees apply; the amounts are printed in Section C of the form, and the office can confirm them at (321) 454-7163. Fees are nonrefundable, except fees paid for additional copies when no record is found, which are refunded on written request. The Bureau of Vital Statistics website is www.FloridaVitalStatisticsOnline.com. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Using this form to order a birth record under seal because of adoption, paternity determination or court order; those records cannot be ordered in the usual manner and require a written request to the Bureau of Vital Statistics.
- Having someone other than the registrant (18 or older) or a parent listed on the record apply, unless the birth occurred more than 100 years ago.
- Not providing valid photo identification; the form accepts a driver's license, state ID card, passport or military ID card.
- Leaving out the relationship to the registrant; a person ordering his or her own certificate should enter "SELF".
- Not explaining a name change, such as a married name or a legal change (when and where), in the relationship space.
- Leaving the applicant's signature, printed name, residence address or telephone number blank; the instructions say the signature is required along with them.
- Writing a two-digit year in the date of birth; the form asks for a 4-digit year.
- Expecting a refund after ordering; fees are nonrefundable, except fees for additional copies when no record is found, refunded on written request.
Frequently asked questions
What is Form DH 1960TC?
Form DH 1960TC, Application for Florida Birth Record, is the form used to order a certified Florida birth record. It is printed under the Brevard County Tax Collector's Office heading and carries Florida Administrative Code Rule 64V-1.0131 and the date 05/2014.
Is this a Brevard County property tax form?
No. Although it is published by the Brevard County Tax Collector, Form DH 1960TC is an application for a Florida birth record and contains nothing about property tax. Its sections cover the registrant, the applicant and the order.
Who can order a birth certificate with this application?
The registrant, if 18 or older, or a parent listed on the birth record. Any person of legal age may also get a certified copy of a record for a birth that occurred more than 100 years ago, except records under seal.
What ID do I need to order a Florida birth record?
The applicant (self or parent) must provide valid photo identification: a driver's license, state identification card, passport and/or military identification card. The form also has an ID information line to complete.
Where do I send the Florida birth record application?
By mail to Florida Department of Health in Brevard County, Vital Statistics, 2575 N. Courtenay Pkwy, Suite 104, Merritt Island, FL 32953; by fax to (321) 454-7164 (an additional rush fee applies); or in person at that address, Monday through Friday, 8:00 A.M. to 4:00 P.M.
Is the birth record fee refundable?
Generally no. The form says fees are nonrefundable, except fees paid for additional copies when no record is found, which are refunded on written request. The amounts are printed in Section C; call (321) 454-7163 to confirm them.
What if the birth record is under seal?
You cannot order it in the usual manner. For records under seal because of adoption, paternity determination or court order, write to Bureau of Vital Statistics, ATTN: Records Amendment Section, P.O. Box 210, Jacksonville, FL 32231-0042.
Can I fill out Form DH 1960TC online?
Yes. You can fill out the form online on FillingPDF and download or print the completed PDF. FillingPDF is an independent service and does not file or submit the application; you deliver it through the channels the form lists.
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