_________________________, 20_____
							(Date of Letter)


The Honorable ___________________________________________
	          (Governor, Secretary of State, Attorney General, etc.)
______________________________
(Room, Floor or P.O. Box)
______________________________
(Government Office Building)
______________________________
(Street Address)
______________________________
(City, State and Zip Code)

RE:  	___________________________________
	(Birth Certificate)

Attn:  Bureau of Vital Statistics

Dear Bureau of Vital Statistics:

	Presently, the undersigned is in need of a birth certificate for
_________________________ (name of individual for whom the birth certificate
is sought).  It is understood that the official date of birth was the ______
day of __________________________, _____(year), and the place of birth was
__________________________ (city), ________________________ (state).  The
official name given at birth was ______________________________ (name known
to be given at time of birth).  

	Kindly provide to the undersigned ______ (number of) certified copies
of the birth certificate of the aforementioned individual.  Please understand
that the birth date and name are provided to the best of my (our) knowledge
or recollection; however, there might be some variation to the name, and the
date might not be exact.  Please indicate if there is any charge for the
certified copies and, if so, contact the undersigned immediately whereupon
remittance will directly follow.  Should your office need any additional
information, please advise.  Thank you.

							Very truly yours,

							______________________________
							(Signature)
							______________________________
							(Address)
							______________________________
							(City, State and Zip Code)
							______________________________
							(Phone Number)

LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006
This is not a substitute for legal advice.  An attorney must be consulted.