HomeMy Public PortalAboutVital Records RequestTown of Brewster
Vital Request Form
All certificates are $10.00 each. Please make checks payable to the Town of
Brewster.
**Please include a self-addressed stamped envelope.
Mail your request to:
Town Clerkâs Office
2198 Main Street
Brewster, MA 02631
Form
Please
Check
Box
Number
Requested Total Amount Enclosed
Birth Record
Death Record
Marriage Record
Name on
certificate:___________________________________________________________________
Date of event:________________________________________________________________
Phone Number:________________ (if we have any questions)
To whom should the call be directed:_________________________
If you have any questions please do not hesitate to contact us. 508-896-4506
If the record is considered to be sealed then a copy of your license needs to be
provided.
Certificates will be mailed out in the addressed envelope sent in with the
request on the day of receipt.
Thank you.
Colette M. Williams
CMC/CMMC
Town Clerk
Brewster, MA