Birth/Death Request Form

In order to request a Birth/Death Certificate, you must be an immediate family member.  Please include the name of the person you are requesting for and include the maiden name if they are currently married.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:

"The City with a Smile"

Vital Statistics


 


   
Jackie Herrera                                                                                    Kasandra Romo
utilities@raymondvilletx.us                                                              utilities@raymondvilletx.us
142 South 7th Street
Office (956) 689-2443
Fax    (956) 689-0981
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