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Forms

For the General Public

Form #

Form Name/Title

pdf

Word

Instructions

REG -3

Application for a Certification or Certified Copy of a Vital Record (Replaced with Reg-27 and REG-28)

 

 

REG-3A Fees and Information (Replaced with Reg-27A, REG-28A in English and Reg-27B, REG-28B in Spanish)

REG-3A Fees and Information (Replaced with Reg-27A, REG-28A in English and Reg-27B, REG-28B in Spanish)      

REG-20

Authorization for Release of Cause of Death (English/Spanish)

pdf 18k

doc 40k

 

REG-27

Application for a Non-Genealogical Certification or Certified Copy of a Vital Record (Combined English/Spanish)

pdf 61k

doc 53k

Instructions
English (REG-27A)
pdf 28k doc 42k
Spanish (REG-27B)
pdf 28k doc 48k

REG-28

Application for a Genealogical Certification or Certified Copy of a Vital Record (Combined English/Spanish)

pdf 60k

doc 51k

Instructions
English (REG-28A)
pdf 26k doc 40k
Spanish (REG-28B)
pdf 27k doc 45k

REG-31

Consent of Parents or Guardian to Marriage or Civil Union of Minor (English/Spanish)

pdf 16k

doc 33k

 

REG-44

Report of Adoption

pdf 20k

doc 38k

Instructions

REG-68

Request to Place on File a Certificate of Birth Resulting in Stillbirth

pdf 19k

doc 35k

Guidelines (REG-D34)
doc29k
pdf32k

REG-77

Application for License:
Marriage, Civil Union, Remarriage and Reaffirmation of Civil Union (replaces REG-15 form)

pdf 26k

doc 90k Instructions

REG-D30

"Entering into a Marriage or Civil Union in New Jersey" Brochure

pdf 15k

doc 30k

 

REG-D33

"Registering a Domestic Partnership in New Jersey" Brochure

pdf 14k

doc 30k  

For Professional Partners

Form #

Form Name/Title

pdf

Word

REG-4

Module 1, Birth Certificate Worksheet, Prenatal Information

pdf 23k

doc 69k

REG-4

Module 2, Birth Certificate Worksheet, Labor and Delivery

pdf 106k

doc 49k

REG-4

Module 3, Birth Certificate Worksheet, Newborn Delivery

pdf 61k

doc 79k

REG-4

Module 4, Birth Certificate Worksheet, Parent Information Module(Legal-Sized Format)

pdf 168k

doc 91k

REG-4

Module 4, Birth Certificate Worksheet, Parent Information Module (Letter-Sized Format)

pdf 141k

doc 95k

REG-4A

Module 4, Birth Certificate Worksheet, Parent Information Module (Spanish)(Legal-Sized Format)

pdf 69k

doc 99k

REG-4A

Module 4, Birth Certificate Worksheet, Parent Information Module (Spanish)(Letter-Sized Format)

pdf 102k

doc 99k

REG-4

Module 5, Birth Certificate Worksheet, Newborn Discharge Module(Legal-Sized Format)

pdf 38k

doc 71k

REG-4

Module 5, Birth Certificate Worksheet, Newborn Discharge Module (Letter-Sized Format)

pdf 40k

doc 90k

REG-4

Module 6, Birth Certificate Worksheet, Parent /Guardian Module

pdf 103k

doc 39k

REG-4

Module 7, Birth Certificate Worksheet, Mother's Discharge Information

pdf 72k

doc 37k

REG-5

Report of No Births, Marriages, Civil Unions, Domestic Partnerships, Fetal Deaths or Deaths

pdf 13k

doc 27k

REG-10

Module 3, Fetal Death Certificate Worksheet, Delivery Module

pdf 96k

doc 89k

REG-10

Module 4, Fetal Death Certificate Worksheet, Parent Information Module (Legal-Sized Format)

pdf 60k

doc 68k

REG-10

Module 4, Fetal Death Certificate Worksheet, Parent Information Module (Letter-Sized Format)

pdf 84k

doc 93k

REG-10A

Module 4, Fetal Death Certificate Worksheet, Parent Information Module (Spanish) (Legal-Sized Format)

pdf 81k

doc 98k

REG-10A

Module 4, Fetal Death Certificate Worksheet, Parent Information Module (Spanish) (Letter-Sized Format)

pdf 87k

doc 100k

REG-13

Certified Municipal Registrar Recertification Course Tracking Log

pdf 11k

doc 46k

REG-34

Request for Correction or Addition to Original Record of Birth, Marriage, Civil Union, Domestic Partnership or Death

pdf 40k

doc 50k

REG-62 Request to Purchase Certified Copy of Vital Records Forms pdf 88k doc 42k

REG-64

Consent for Artificial Insemination

pdf 15k

doc 35k

REG-66

Log of Voided Certified Copy Forms

pdf 25k

doc 56k

Maintained by the Bureau of Vital Statistics and Registration for information on registering, amending or obtaining copies of vital records please contact (609) 292-4087 or toll-free nationwide at 1-866-649-8726.


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Last Modified: Wednesday, 14-Jan-09 10:07:01