Fillable Udoh-Ovrs-300 - Application For Birth Certificate (Page 2 of 2) in pdf

OFFICE OF VITAL RECORDS AND STATISTICS

Application for Certified Coy of

Adoption / Court Order Paternity / Legitimation

or Foreign Adoption Birth Certificate

 A birth certificate cannot be issued once a child has been relinquished for adoption and/or a birth

parent has consented to an adoption of the child. This includes issuing to a biological parent.

(Utah code 26-2-22). A new birth certificate may only be issued once the adoption is finalized.

 Utah Vital Records may only issue certificates for births that occurred in Utah or are a Court Ordered

Delayed Foreign Birth filed in a Utah Court.

 IDENTIFICATION: Valid ID is required of the person signing this application. (i.e. Drivers license, passport,

government issued ID card)

 FEES: There is a fee of $60.00 per child which includes one certified copy of the birth certificate. Additional

copies ordered at the same time are $10.00 each. The new birth certificate cannot be issued until this

fee has been received by Vital Records. If an applicant does not respond to a written request from the

Office of Vital Records within 90 days, the Office of Vital Records may retain all moneys paid.

 REVIEW YOUR CERTIFICATE CAREFULLY! If there is an error on the birth certificate then Vital Records

may replace your certificate only up to 90 days from the date it was issued. After 90 days you will be

required to pay for a new certificate.

MAILED REQUESTS

Please allow 8-10 weeks for processing.

MAILING ADDRESS:

To order by mail, please return the following:

VITAL RECORDS



Completed and signed application

P.O. BOX 141012



Check or money order may payable to Vital Records

SLC, UT 84114

(We cannot accept credit card payments through the mail)



Photocopy of the requestor’s ID (driver’s license, etc.)



Required certified court documents not already received by

Vital Records

(Vital Records will keep the certified copy)

COUNTER REQUESTS

HOURS

Physical Address: 288 North 1460 West, Salt Lake City, UT 84114

TUESDAY AND WEDNESDAY

8:00 AM – 4:30 PM



You will need valid identification and appropriate fees.

(last request taken at 4:30 pm)

Valid ID includes driver’s license, passport, or government

issued ID card.



Fill out the application (other side of this form) COMPLETELY. Please indicate at the top of the

application if you will wait, pick up your request at a later time, or have your request mailed. Please

allow one hour to process your request.



We process counter requests on Tuesdays and Wednesdays only. The last request will be accepted

at 4:30 pm. If you prefer, you may drop off your request and it will be processed the following Tuesday

or Wednesday (whichever comes first). Please indicate on your request if you are picking it up or

having it mailed. If dropping off a request, the fee must be paid by cash, check or money order.

We cannot accept credit cards for held requests.

Udoh-Ovrs-300 - Application For Birth Certificate Page 2

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