Bureau of Vital Records Forms Available from DHSS Warehouse
Updated on 5/3/2012
Return to complete Form List
13 forms in this list.| Catalog Number | Name | Quantity Per Unit | Program | Restrictions |
| VS-100 | CERTIFICATE OF LIVE BIRTH | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-100C | CERTIFIATE OF LIVE BIRTH | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-153F | FACILITY WORKSHEET | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-153M | BIRTH CERTIFICATE MOTHER'S WORKSHEET | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-300 | CERTIFICATION OF DEATH | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-400 | DECREE OF ADOPTION | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-421 | SEARCH OF PUTATIVE FATHER REGISTRY | CASE | Bureau of Vital Records | PROGRAM USE ONLY For Program Use Only |
| VS-460 | AFFIDAVIT FOR CORRECTION OF A BIRTH OR DEATH RECORD | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-465 | AFFIDAVIT ACKNOWLEDGING PATERNITY | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-700 | APPLICATION - REPORT MARRIAGE | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-802 | CERTIFIED STATEMENT RELATED TO DIVORCE | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-804-B | STATE REGISTRAR CERTIFICATION | CASE | Bureau of Vital Records | PROGRAM USE ONLY |
| VS-804-D | CERTIFICATION PAPER | CASE | Bureau of Vital Records | PROGRAM USE ONLY |