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Vital Statistics Forms

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Birth or Death Record Forms Microsoft Word PDF
VS 142.2 – Expedited Application for a Certified Copy Download (60K) Download (28K)
VS 142.3 – Mail Application for a Certified Copy Download (58K) 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 Download (58K) Download (28K)
VS 144 – Heirloom Gift Certificate Download (43K) Download (74K)
VS 301 – Application for Certificate of Birth Resulting in Stillbirth Download (147K) Download (174K)



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 or Divorce Record Forms Microsoft Word PDF
VS 142.9 – Application for a Verification Letter Download (48K) Download (27K)
VS 146 – Application for an Heirloom Anniversary Certificate Download (60K) Download (27K)



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 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) Download (216K) Download (53K)
VS 166.531 – Validation Petition Download (21K) N/A
VS 166.532 – Validation Order Download (21K) N/A



Paternity or Parentage Forms Microsoft Word PDF
VS 134 – Paternity Registry Inquiry Request Download (40K) Download (29K)
VS 134.1 – Acknowledgement of Paternity Inquiry Request Download (49K) Download (26K)
VS 166 – Application for a New Birth Certificate based on Parentage Download (44K) Download (113K)



Abortion Forms (for physicians) Microsoft Word PDF
Emergency Induced Abortion Certification form Download (78K) Download (25K)
Third Trimester Induced Abortion Certification Form Download (79K) Download (26K)
Induced Abortion Report Form Download (99K) Download (21K)


Last Updated October 03, 2007

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