While the US passport agency and all of their information says that an original state birth certificate is enough to get a passport, it seems that the rules have changed. I am now having to prove that my son was born in the US, even though his birth certificate clearly states it, because he was born at our home. Our midwife went through the proper channels to get his Utah birth certificate, I have had it for almost 2 years (he is turning 2 in September), but after I sent off his passport application, I received a letter from the US Department of State requesting additional proof of citizenship: "You were not born in a medical facility, so you will need to submit a combination of additional documents of additional documents to further support your claim to United States citizenship." Not only were my husband and I born in the US, have owned our current home for over three years (this is the address of birth on his birth certificate), and have a valid birth certificate proving my son's birth, I now have to prove it in other ways. This must be some brand new rule, as a friend of mine received her daughter's passport (also born at home about a year ago, and my friend even lived out of the country for the previous 8 years), ordered her passport and had to provide no extra proof of her daughter's citizenship.