Vital Records Request

To order one or more certified copies of a vital record where all of the information listed below is known, please complete the appropriate form and return it, together with a self-addressed, stamped envelope and a check made payable to the “Town of Ashburnham” in the amount of $10 for each certified copy requested.  For multiple person(s) you may add them on the same form or fill out a seperate form for each.

Mail your request to: 
Town Clerk’s Office – Vital Records,
Town Hall  
32 Main Street,
Ashburnham, MA 01430.

If you wish to pick-up your request and you have the ability to Scan and e-mail the above forms, you may send the information via e-mail to: