Please complete the entire form to the fullest extent possible.

Requests are processed in the order received. The normal processing time is seven (7) business days.

In order to protect record confidentiality, certificates will only be issued to: the individual named on the certificates, the parent or guardian of a minor child, or a requesting parish or diocese. No certificates are issued for genealogical purposes.

Requester's Information
Requestor's Name *
Requestor's Name
Relationship to the baptized person *
Requestor's Address *
Requestor's Address
Phone *
Phone
Baptized Person's Information
Full Name of the person whose certificate is being requested *
Full Name of the person whose certificate is being requested
Date of Birth *
Date of Birth
Phone *
Phone
Date the sacrament was conferred *
Date the sacrament was conferred
Authorization to Release Information
Please select either OPTION 1 or OPTION 2. If selecting OPTION 1, please complete as many of the fields as possible. Failure to select an option will delay the processing of your request.
OPTION 1 - I authorize Our Lady of Grace to release a copy of my baptismal certificate to:
Church Address
Church Address
Church Contact
Church Contact
OPTION 2 - I will pick up my baptismal certificate at the Parish Office and provide identification.
(You will be asked to provide your driver's license or ID when you pick up your certificate.)