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Vital Statistics Forms

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Birth and Death Certificate Request Forms    Amendment Forms    Adoption Forms    Paternity and Parentage Forms

Abortion Reporting Forms and Postmortem Examination or Autopsy Consent Form (for physicians only)

 

Request Forms
Birth or Death Record Forms Microsoft Word PDF

VS 142.21 – Expedited Application for a Certified Copy

N/A

Download (29K)

VS 142.3 – Mail Application for a Certified Copy

N/A

Download (28K)

VS 142.6 – Mail Application for a Verification Letter

Download (48K)

Download (77K)

VS 142.7 Mail Application for a Certified Copy - Military Personnel being Deployed

N/A

Download (74K)

VS 144 – Heirloom Gift Certificate

Download (43K)

Download (74K)

VS 301 – Application for Certificate of Birth Resulting in Stillbirth

Download (147K)

Download (174K)

 

Amendment and Disinterment Forms
Birth or Death Record Amendment Forms Microsoft Word PDF
VS 170 – Application for an Amendment to a Birth Record N/A Download (58K)
VS 172 – Application for an Amendment to a Death Record N/A Download (45K)
VS 2318.1A – Application for Amended Birth Certificate based on a Court Ordered Name Change Download (24K) Download (32K)
VS 271 – Application for Disinterment Permit Download (39K) N/A
VS 271.1 – Disinterment Consent Form Download (24K) N/A



Marriage and Divorce Request Forms
Marriage or Divorce Record Forms Microsoft Word PDF
VS 142.9 – Application for a Verification Letter N/A Download (27K)
VS 146 – Application for an Heirloom Anniversary Certificate Download (60K) Download (27K)



Adoption Forms
Adoption Forms Microsoft Word PDF
VS 143 – Request for Identity of Court of Adoption Download (41K) Download (79K)
Central Adoption Registry Application Instructions Download (42K) Download (12K)
VS 2271 – Central Adoption Registry Application N/A Download (39K)
VS 2271 – Central Adoption Registry Application and Instructions (Spanish) Download (221K) Download (128K)
VS-210 Central Adoption Registry Request for Open Records Download (62.0K) Download (153K)
VS 145 – Adult Adoptee Application for Non-Certified Copy of Original Birth Certificate Download (50K) Download (25K)
VS 160 – Certificate of Adoption (for attorneys and district clerks) N/A Download (53K)
VS 166.531 – Validation Petition Download (21K) N/A
VS 166.532 – Validation Order Download (21K) N/A



Paternity or Parentage Forms
Paternity or Parentage Forms Microsoft Word PDF
VS 134 – Paternity Registry Inquiry Request Download (40K) Download (39K)
VS 134.1 – Acknowledgment of Paternity Inquiry Request Download (49K) Download (32K)
VS 166 – Application for a New Birth Certificate based on Parentage Download (44K) Download (113K)
VS-168 Inquiry On Court Of Continuing Jurisdiction For A Child Download (95K) Download (83K)



Abortion Reporting Forms and Postmortem Examination or Autopsy Consent Form (for physicians only)
Form Name Microsoft Word PDF
Medical Emergency Abortion form N/A Download (25 KB)
Third Trimester Induced Abortion Certification Form Download (79K) Download (26K)
Induced Abortion Report Form Download (54K) Download (48K)
Postmortem Examination or Autopsy Consent Form Download (149K) Download (415K)

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Last updated April 18, 2013