Forms • Chelmsford, MA • CivicEngage

Vital Records Request

Leave This Blank:

Type of Record Requesting*

	Birth
	Marriage

Death

Event Date*

Last Name:*

First Name:*

Number of Copies*

PLEASE WAIT FOR EMAIL CONFIRMATION FROM THE TOWN CLERK'S OFFICE THAT THE RECORD IS AVAILABLE BEFORE COMING TO PICK UP OR MAILING A CHECK

If your request is to mail the certificates, please either call the Town Clerk's Office at 978-250-5205 with your credit card number OR send a check made payable to the Town of Chelmsford, $15.00 for each copy needed along with a self addressed stamped envelope to:
Town Clerk
50 Billerica Road
Chelmsford, MA 01824
*

Pick Up - $10 Each

Mailed - $15 Each

Email Address:*

Mailed to:

Street Address

City:

State:

Zip Code:

Phone Number:*

* indicates required fields.

Live Edit

Contact

Helpful Links

FAQs