Affidavit of Birth - Template, Sample Form to Complete

Designed for use in United States

Create your Affidavit of Birth for use in United States. Answer a few plain-English questions and the document fills in automatically as you go - then download it in Word and PDF, ready to sign or share.

  • Answer 31 simple questions - the document fills in as you go
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Below you can preview the Affidavit of Birth, complete it by answering a few plain-English questions, and download a ready-to-sign copy in Word and PDF - tailored for use in United States.

What the Affidavit of Birth includes

This template is organised into the following sections:

Frequently asked questions

What is a Affidavit of Birth?

A Affidavit of Birth is a ready-to-use legal template for United States. You complete it by answering a few plain-English questions, then download the finished document in Word and PDF.

What does the Affidavit of Birth cover?

The Affidavit of Birth is organised into sections covering § 1. Affiant, § 2. Identity and Competency of Affiant, § 3. Subject of the Affidavit, § 4. Statement of Facts, § 5. Basis of Personal Knowledge, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Affidavit of Birth as an editable Microsoft Word (.docx) file and as a PDF.

Can I edit the document later?

Yes - save it to your account and you can re-open, edit and re-download it at any time.

Is a Affidavit of Birth legally binding?

Once it is properly completed and signed by everyone involved, a Affidavit of Birth is generally legally binding in United States, provided it meets the legal requirements that apply to this type of document.

What laws apply to a Affidavit of Birth in United States?

A Affidavit of Birth should comply with the laws in force in United States. This template is built around the provisions such situations commonly require, but the rules can vary by region and change over time, so check the current requirements for your case.

Do I need a lawyer to use a Affidavit of Birth?

For most standard situations you can complete the Affidavit of Birth yourself using the guided questionnaire. For high-value, unusual or high-risk matters, it is sensible to have a qualified lawyer review the finished document.

How do I sign the Affidavit of Birth?

Download the completed Affidavit of Birth as Word or PDF and sign it as required in United States. Depending on the document this may involve a handwritten or electronic signature, and some documents also need witnesses.

Is the Affidavit of Birth free?

You can preview the Affidavit of Birth and fill it in for free. A one-time fee applies only when you download the finished, ready-to-sign document in Word and PDF.

How long does it take to complete a Affidavit of Birth?

Most people finish the Affidavit of Birth in just a few minutes by answering the plain-English questions. You can save your progress and come back to it at any time.

Prepared and reviewed by the LegalDocs team.

Document preview

AFFIDAVIT OF BIRTH

State of ________
County of ________


§ 1. Affiant. I, ________, being of legal age and of sound mind, residing at ________, having been first duly sworn upon oath according to law, do hereby depose, declare, and certify under penalty of perjury as follows.

§ 2. Identity and Competency of Affiant.

(a) I was born on ________ in ________.
(b) I am competent to testify to the matters stated herein, and each of the statements set forth in this Affidavit is made upon my own personal knowledge.
(c) My relationship to the individual named in § 3 below is: ________.

§ 3. Subject of the Affidavit. This Affidavit is executed on behalf of, and concerning the birth of, the following individual (the “Subject”):

Full Legal Name: ________
Gender: ________
Date of Birth: ________
Age: ________ years
Place of Birth (City and State/Country): ________
Current Address: ________
Citizenship: ________
Marital Status: ________

§ 4. Statement of Facts.

(a) I have known the Subject, ________, since ________.
(b) I declare that the Subject was born on ________ at ________.
(c) The Subject was born to the following parent(s): ________.

§ 5. Basis of Personal Knowledge. I have direct, personal knowledge of the events and circumstances concerning the birth of the Subject for the following reason(s):

________

________

§ 7. Declaration Under Penalty of Perjury. I declare under penalty of perjury under the laws of the State of ________ and of the United States that I have read this Affidavit, that I know and understand its contents, and that the foregoing statements are true, correct, and complete to the best of my knowledge, information, and belief. I understand that any willful false statement made herein is subject to the penalties prescribed by law for perjury.

§ 8. Execution. Executed this ________ day of ________, ________, at ________.


______________________________
________, Affiant


______________________________
Date

ACKNOWLEDGMENT / JURAT

STATE OF ________

COUNTY OF ________


On this ________ day of ________, ________, before me, the undersigned officer, personally appeared ________, who is personally known to me or who proved to me on the basis of satisfactory evidence (namely, ________) to be the person whose name is subscribed to the within instrument, and who, being by me first duly sworn, did acknowledge to me that he or she executed the same for the purposes therein contained, and did swear or affirm that the statements contained therein are true and correct.

In witness whereof, I hereunto set my hand and official seal.


______________________________
Notary Public Signature

______________________________
Printed Name of Notary Public

My commission expires: ________

Commission Number: ________

(Notary Seal / Stamp)

Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.