出生纸（出生证明）是美国政府认可的宝宝出生在美国的证明文件。 出生纸需要到美国人口署办理，其是办理美国护照、社会安全卡，旅行证，回国户口的必备文件。 宝宝出生时医院有专门的工作人员(Birth Clerk)会让父母填写人口登记表，包括宝宝的英文名、姓、父母姓名和生日等，申请出生纸可以联系乐奥代办。
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常规办理的政府费用和所需时间如下：（如需加急办理请电话联系，不同的州加急费不同，处理时间也不一样。）
| 领区 | 州名 | 政府费用 | 时间 |
| DC | DC | $ 23.00 | 2-4 weeks |
| DC | DE | $ 25.00 | |
| DC | ID | $ 21.00 | |
| DC | KY | $ 10.00 | 30 working days |
| DC | MD | $ 10.00 | 3 weeks |
| DC | MT | $ 12.00 | 2 to 3 weeks |
| DC | NE | $ 16.00 | |
| DC | ND | $ 15.00 | 3 to 5 business days |
| DC | SD | $ 26.50 | 2 to 4 weeks |
| DC | UT | $ 22.00 | at least 3 weeks |
| DC | WY | $ 20.00 | 3-5 business days |
| DC | NC | $ 24.00 | 4 to10 weeks |
| DC | SC | $ 30.00 | 2-4 weeks |
| DC | WV | $ 12.00 | 19 business days or longer |
| DC | VA | $ 12.00 | 4 weeks |
| DC | TN | $ 15.00 | 1 week |
| NY | OH | $ 21.50 | 4-6 weeks |
| NY | PA | $ 20.00 | 3 weeks |
| NY | NY | $ 15.00 | 4-6 weeks |
| NY | NJ | $ 35.00 | 8-12 weeks |
| NY | ME | $ 15.00 | |
| NY | VT | $ 12.00 | 5 to 7 business days |
| NY | RI | $ 35.00 | 5 to 7 business days |
| NY | CT | $ 30.00 | |
| NY | MA | $ 32.00 | 15-20 business days |
| NY | NH | $ 15.00 | |
| CHICAGO | CO | $ 45.00 | |
| CHICAGO | KS | $ 30.00 | 3 to 5 business days |
| CHICAGO | MO | $ 27.00 | 2-4 weeks |
| CHICAGO | IA | $ 15.00 | 4 to 6 weeks |
| CHICAGO | MN | $ 26.00 | 1-2 weeks |
| CHICAGO | WI | $ 20.00 | |
| CHICAGO | IL | $ 10.00 | |
| CHICAGO | MI | $ 26.00 | 2 weeks |
| CHICAGO | IN | $ 10.00 | 1-2 weeks |
| SF | AK | $ 30.00 | 10-14 days |
| SF | WA | $ 25.00 | 10-12 weeks |
| SF | OR | $ 25.00 | 5 to 8 weeks |
| SF | NV | $ 10.00 | 1-2 weeks |
| SF | N-CA | $ 26.00 | 6 to 8 Weeks |
| LA | AZ | $ 20.00 | 2-4 weeks |
| LA | NM | $ 20.00 | |
| LA | HI | $ 12.50 | |
| LA | S-CA | $ 26.00 | 6 to 8 Weeks |
| LA | VI | $ 10.00 | |
| HOUSTON | TX | $ 23.00 | 2 to 3 weeks |
| HOUSTON | OK | $ 20.00 | 1-2 business days |
| HOUSTON | AR | $ 12.00 | 10-14 days |
| HOUSTON | LA | $ 15.00 | |
| HOUSTON | MS | $ 17.00 | |
| HOUSTON | AL | $ 15.00 | |
| HOUSTON | GA | $ 25.00 | |
| HOUSTON | FL | $ 15.00 | 10 to 14 business days |