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Department of Health
Department of Health
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I am a/an:
  • I am a/an:
  • Adult
  • Business Owner
  • Caregiver
  • Contractor/Grantee
  • Health Care Professional
  • Older Adult
  • Parent
  • Researcher
  • School Representative
  • Teen
I'm looking for:
  • I'm looking for:
  • Birth & Death Certificates
  • Diseases & Conditions
  • Emergency Medical Services
  • Environmental Health
  • Facilities and Licensing
  • Health Research
  • Health Statistics
  • Our Programs
  • Reporting & Registries
  • Violence & Injury Prevention
About Us
  • About Us
  • Bureaus and Offices
  • Contact
  • County-Municipal Health Depts
  • Leadership
  • State Health Centers
  • Customer Service
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Health > All Health Topics > Certificates and Records > Forms
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Forms

Click on the form name to access the applicable form. Mail a completed copy to the Division of Vital Records.

  • Adoptee's Application for Noncertified Copy of Original Birth Record
  • Application for a Birth Certificate
  • Application for a Birth Certificate with Fees Waived Under the Disaster Declaration (for an Individual with an Opioid Disorder)
  • Application for a Death Certificate
  • Application for a Stillborn Birth Certificate
  • Application to Add a Father to a Birth Record
  • Authorization for an Individual to Pick Up Certificates
  • Authorization to Mail Certificate to Temporary Address due to a Recent Natural Disaster
  • Birth Correction Statement
  • Death Correction Statement
  • Delayed Report of Live Birth
  • Funeral Home Application for a Death Certificate
  • Multi-year Birth Application
  • Multi-year Death Application
  • Name Redaction Request
  • Report of a Child Born Abroad
  • Solicitud de Copia Certificada del Acta de Defuncion
  • Solicitud de Copia Certificada del Acta de Nacimiento
  • Statement of Citizenship and Residency

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