Birth Certificate Request


If you wish to request a copy of a birth certificate, please follow the instructions below:

  1. Complete the form and submit it.
  2. A copy of a valid photo ID must be provided.  You may attach it in the form or mail a copy to the court at the address listed below.
  3. The cost is $25 for a certified copy and $5 for each additional copy received at the same time.
  4. To complete your request, please send a cashiers check or money order to:
    Cook County Probate Court
    212 N. Hutchinson Ave.
    Adel, GA 31620
  5. The check should be made out to – Cook County Probate Court
  6. If you did not attach a copy of photo ID with your application, please make a copy of your photo ID and include it with your check

Any person who willfully or knowingly supplies false information on this form to be used for any purpose with the intent to defraud; willfully uses or attempts to use any certificate of birth or a copy of any record of birth knowing that such certificate was issued upon a record which was false or relates to the birth of another person may be fined not more than $10,000 or imprisoned for not more than five (5) years or both upon conviction. (Official  Code of Ga, Pursuant to O.C.G.A., Chapter 31-10, Section 31)

Birth Certificate Request Form

Personal Information

Birth Name
Father's Name
Mother's Maiden Name
Self, Parent, Legal Guardian, Grandparent, Adult Brother/Sister, Adult Child, Spouse, or Legal Representative

Contact Information


Click or drag a file to this area to upload.
Photo ID
$25 for the first copy, $5 for each additional copy

Cook Court House Address

212 N. Hutchinson Ave.

Adel, Georgia 31620

Phone or Text:(229) 896-3941

Fax: (229) 896-6083

Have Questions? Text HI to 229-896-3941