[an error occurred while processing this directive] Bureau of Vital Records Form (Internet)

Bureau of Vital Records Forms Available from DHSS Warehouse

Updated on 5/22/2025

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12 forms in this list.
Catalog Number Name Quantity Per Unit Program Restrictions
3675 CERTIFICATION PAPER CASE Bureau of Vital Records For Program Use Only
5035 DEATH CERTIFICATES - CUT FORM - FEE RECEIPTS CASE Bureau of Vital Records PROGRAM APPROVAL REQUIRED
5037 BIRTH CERTIFICATES - CUT FORM - FEE RECEIPTS CASE Bureau of Vital Records PROGRAM USE ONLY
VS-151BD APPLICATION FOR A VITAL RECORD CASE Bureau of Vital Records PROGRAM USE ONLY
VS-151MD APPLICATION MARRIAGE/DIVORCE STATEMENT CASE Bureau of Vital Records PROGRAM USE ONLY
VS-153M BIRTH CERTIFICATE MOTHER'S WORKSHEET CASE Bureau of Vital Records PROGRAM USE ONLY
VS-375 REPORT OF FETAL DEATH CASE Bureau of Vital Records PROGRAM USE ONLY
VS-400 DECREE OF ADOPTION CASE Bureau of Vital Records 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-466 RESCISSION OF AFFIDAVIT OF ACKNOWLEDGING PATERNITY CASE Bureau of Vital Records PROGRAM USE ONLY
VS-803 MARRIAGE, DIVORCE, SINGLE STATUS 1 BO Bureau of Vital Records PROGRAM USE ONLY