Affidavit of Birth 2022 (guide + free samples)

This post covers affidavit of birth.

I know the use of affidavit for a birth certificate is currently, not very common since most agencies prefer a birth certificate.

But the use of this document is still allowed when circumstance renders it necessary. (Here is where find the basis of this post)

Here I will guide you through;

  • What is an Affidavit of Birth
  • When do you need to use an affidavit of birth?
  • Who can write an affidavit of birth
  • How to write a valid affidavit of birth
  • birth affidavit for passport application
  • Affidavit of birth sample
  • Sample birth affidavit by a relative
  • etc.

What is an Affidavit of birth?

An affidavit of Birth is a legal document that contains facts that show/prove the circumstance of the birth of a certain person. It is used instead of a birth certificate. That means you don’t need this affidavit if you have a birth certificate.

This Affidavit is always sworn or affirmed by the third party as proof of the birth of another person.

That means you can’t swear or affirm facts adduced on your Affidavit of Birth but a person who knows important information about your birth can do.

It can be a father/mother/, grandfather/grandmother, brother/sister/, uncle/aunt, cousin, nephew/niece, or any near relative who was present at your birth or the doctor or midwife who delivered you.

The facts stated in the affidavit of birth are created under the penalty of perjury, so it must be truthful and accurate.

This document may be required in the passport application process, adoption, employment, pension funds, academic issues, etc.

An affidavit of birth must be notarized before you can use it as an official substitute for a birth certificate.

When do you need to use an affidavit of birth?

As I said earlier an affidavit of birth is an alternative document, there for you may use it only when;

  • Your birth record is incomplete.
  • You are unable to locate your complete birth record.
  • You need additional proof of your birth when applying for a job or official documentation, such as a passport, visa, or Green Card.

Who can write an affidavit of birth

Anyone who is aware of the details surrounding a person’s birth may prepare an affidavit of birth on their behalf.

Technically is known as Affiant.

The affiant is the individual who drafts and swore the affidavit.

The person who requires a birth certificate frequently has a relative serve as the affiant.

The affiant need not be a citizen of the United States.

Affidavits for children are frequently written by parents.

How to write a valid affidavit of birth

Your birth affidavit must include specific information if you intend to use it for official purposes with organizations like the Department of State or the U.S. Citizenship and Immigration Services.

To ensure that your affidavit of birth satisfies the standards, be sure to include the following details.

  • Applicant’s full name, place of birth, date of birth
  • Full names of both of the applicant’s parents
  • Statement of how the affiant knows of the applicant’s birth
  • Full first name, middle name, and last name of each person whose name appears in the affidavit
  • Mother’s name should be her current married name, any maiden name should follow in parenthesis
  • Full dates, months, and years should be written out

Birth affidavit for passport application

You will need to supply a lot of information and documentation to prove your identity and citizenship if you are applying for a new U.S. passport at a U.S. passport agency using a DS-11 form.

Official proof of citizenship, either your birth certificate or paperwork proving your naturalization, is required for U.S.  passport applications.

You will need to complete a DS 10 Birth Affidavit Passport Form if you are an application without a birth certificate. 

An acceptance agent should get a DS-10 Birth Affidavit Passport Form along with any other necessary paperwork.

This comprises:

  • a front and rear photocopy of the applicant’s driver’s license
  • Census records, family Bible records, doctor’s records, Baptism certificates, and hospital certificates

The DS-10 Form calls for a written declaration from the responsible authorities stating that no birth certificate or record is in existence, as well as a photocopy of the applicant’s identification on both sides.

Anyone submitting a birth affidavit must be personally familiar with the details surrounding the applicant’s birth in the United States.

Affidavit of birth sample

 

AFFIDAVIT OF THE BIRTH for

Bob Jordan

I, Brown Thomas, residing at 742 University Hill Road, Divernon  6253 Illinois hereby certify that I was born on 19 May 19… in the City of Wallingford, State of Connecticut in the Country of United States

FURTHERMORE,

This Affidavit of Birth is being prepared and executed on behalf of the following individual:

Bob Jordan was born on 10 July 20.. 1 at  742 University Hill Road in the City of Divernon in the State of Illinois located in the Country of United States for the purpose and reason of [insert the purpose of this affidavit].

THEREFORE, I declare under the penalty of perjury and in accordance with [state] law, that the above statement of information is true and correct to the best of my knowledge.

______________

(Affiant Signature)
______________

(Date)

STATE OF _______________________ )
COUNTY OF _____________________   )

NOTARY ACKNOWLEDGMENT

On ___________________ the aforementioned Affiant did personally appear before me, and who is personally known to me (or proven to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within the instrument and acknowledged to me that he/she executed the same in his/her authorized capacity and that by his/her signature on the instrument above or the entity upon behalf of which the person acted, executed the instrument.

WITNESS my hand and official seal.

_________________

(NOTARY SIGNATURE)

My Commission Expires: _________________

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Sample birth affidavit by a relative

AFFIDAVIT OF THE BIRTH for

Bob Jordan

I, Brown Thomas, residing at 742 University Hill Road, Divernon  6253 Illinois hereby certify that I was born on 19 May 19… in the City of Wallingford, State of Connecticut in the Country of United States

FURTHERMORE,

This Affidavit of Birth is being prepared and executed on behalf of my relative/uncle/nephew/grandchildren/:

Bob Jordan was born on 10 July 20.. 1 at  742 University Hill Road in the City of Divernon in the State of Illinois located in the Country of United States for the purpose and reason of [insert the purpose of this affidavit].

THEREFORE, I declare under the penalty of perjury and in accordance with [state] law, that the above statement of information is true and correct to the best of my knowledge.

______________

(Affiant Signature)
______________

(Date)

STATE OF _______________________ )
COUNTY OF _____________________   )

NOTARY ACKNOWLEDGMENT

On ___________________ the aforementioned Affiant did personally appear before me, and who is personally known to me (or proven to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within the instrument and acknowledged to me that he/she executed the same in his/her authorized capacity and that by his/her signature on the instrument above or the entity upon behalf of which the person acted, executed the instrument.

WITNESS my hand and official seal.

_________________

(NOTARY SIGNATURE)

My Commission Expires: _________________

You may also consider the following samples of the affidavits

Isack Kimaro
Isack Kimaro

Editor-in-chief and founder of sherianajamii.com. Holder of Bachelor of Laws (LL.B) and Post Graduate Diploma in Legal Practice. Lawyer by profession and blogger by passion