Bureau of Vital Records Forms Available from DHSS Warehouse
Updated on 4/12/2024
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12 forms in this list.| Catalog Number | Name | Quantity Per Unit | Program | Restrictions |
| 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 |
| VS-804 | CERTIFICATION PAPER | CASE | Bureau of Vital Records | For Program Use Only |