Manitoba Birth Certificate – Form

Step 1 of 5

Select your province or territory:(Required)

The province or territory where you currently reside.

We're sorry, we can't assist residents of Quebec.

Birth details

Enter exactly as registered on the Manitoba birth record. If you selected "self", re-enter your own details.

Last Name at Birth(Required)

Last name at birth or adoptive name, unless there has been a legal name change.

All Given Names(Required)

First name and all other names, not including the last name / family name.

Sex(Required)

Date of Birth(Required)

Place of birth - City or Town (Manitoba)(Required)

Birth must have occurred in Manitoba. Start typing to search the list - it includes over 2,000 Manitoba localities. Select OTHER only if yours is not there.

Other Place of Birth (City or Town)(Required)

Type the city, town, village or rural municipality in Manitoba where the birth took place.

Province

Parent 1

Parent 1 - Last Name at Birth(Required)

Parent 1 - All Given Names(Required)

Parent 1 - Place of Birth(Required)

Province if born in Canada; select OTHER if born outside Canada.

Parent 1 - Other Place of Birth (Country)(Required)

Is there only one parent on the birth record?(Required)

Yes

Parent 2

Parent 2 - Last Name at Birth(Required)

Parent 2 - All Given Names(Required)

Parent 2 - Place of Birth(Required)

Province if born in Canada; select OTHER if born outside Canada.

Parent 2 - Other Place of Birth (Country)(Required)

Certificate

Which certificate do you need?(Required)

One copy. Language (English/French) is part of your selection.

Applicant's details

"Applicant" is the person who is completing this online request. An "Applicant" must enter their contact information so they can be contacted if problems arise with their request.

Last Name(Required)

All Given Names(Required)

Daytime Telephone Number(Required)

Alternate Telephone Number

Email Address(Required)

Enter Email Confirm Email

Preferred Method of Correspondence(Required)

Applicant's delivery address

The delivery address is the location where the certificate(s) will be sent.

Country(Required)

Postal / Zip Code(Required)

Address line 1(Required)

Address line 2

City / Town(Required)

Province / State(Required)

Service type	Manitoba Birth Certificate Application Service
Certificate provided	Birth Certificate
Processing time	about 1 to 2 weeks, plus delivery
Total	$99.00 CAD