Arizona Birth Certificate Application Form PDF 2024

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Arizona Birth Certificate Application Form PDF 2023

How To Apply For Arizona Birth Certificate Online

The Arizona Department of Health Services, Bureau of Vital Records now accepts online orders in addition to expedited services. You can process online requests through an independent company that we have partnered with to provide you this service; VitalChek Network, Inc.

We do not endorse any other internet ordering service. VitalChek can be reached either through its website or by phone. An additional fee is charged by VitalChek for using this service, all major credit cards are accepted, including American Express®, Discover®, MasterCard®, or Visa®.

Arizona Birth Certificate Application Online

The Arizona Department of Health Services, Bureau of Vital Records now accepts online orders in addition to expedited services.

You can process online requests through an independent company that we have partnered with to provide you this service; VitalChek Network, Inc..

We do not endorse any other internet ordering service. VitalChek can be reached either through its website or by phone. An additional fee is charged by VitalChek for using this service, all major credit cards are accepted, including American Express®, Discover®, MasterCard®, or Visa®.

Service Fee
Certificate Fee $20.00 per certificate
Processing Charge Per Order $15.50

*Note: Additional fees may apply for any applicable correction or amendment fees previously not collected. Please see the fee schedule for correction and amendment fees.

Service Fee
Standard shipping via USPS $0.00
Express Courier 2-3 Day Delivery $17.50
Express Courier Standard Overnight (by 4 p.m.) $18.50
Express Courier Priority Overnight (by 10:30 a.m.) $19.50
Optional UPS Alternate Delivery Location (added to above express rates if chosen by consumer) $5.00

Bureau of Vital Records – Arizona Birth Certificate Application Form

150 North 18th Ave., Ste. 120
Phoenix, AZ 85007
(602) 364-1300
(888) 816-5907
Map & Directions
Mailing Address
PO Box 6018
Phoenix, AZ 85005
Expedited Service
VitalChek Network, Inc.

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How To Download Arizona Birth Certificate Application Form 2023

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Arizona Birth Certificate Application Form

Arizona Birth Certificate Application Form Link – Download PDF

Arizona Birth Certificate Online Apply Process In 2023

Apply in Person

The Arizona Department of Health Services Bureau of Vital Records no longer provides same day walk in customer service. You may apply for a certified copy of a birth or death certificate by mail. If you would like same day walk in customer service please visit your local county health department Office of Vital Records.

Apply by Mail

To apply by mail you must submit the following:

  • A completed Bureau of Vital Records Request for Copy of Birth Certificate [Español]
  • A copy of the front and back of your valid government-issued picture identification which bears your signature or have your signature notarized. Note: If you are not the registrant or the parent named on the certificate, you must also submit proof of eligibility.
  • Include a self-addressed stamped envelope with your request.
  • Appropriate fee, according to the fee schedule. Acceptable payment methods are: cashier’s checks, money orders, Visa, Mastercard, American Express, and Discover. PLEASE DO NOT SEND CASH OR PERSONAL CHECK. Cashier’s checks and money orders must be for the exact amount and made payable to Bureau of Vital Records.

Note: An incomplete application will delay the processing of your request.

Note: The average processing time for applications submitted through the mail is 5-7 business days from the date the application is received by Vital Records.

Government Agency Request for Copies of Birth Certificate [For Government Use only]

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Who Can Obtain a Birth Certificate – Arizona Birth Certificate Form

Only persons 18 years of age or older may obtain a certified copy of a birth certificate.

Note: An applicant presenting documents from a foreign country as proof of relationship or proof of legal interest must provide certified copies of the documents. Photocopies are not acceptable. If an evidentiary document is in a language other than English, it must be accompanied by:

  • An English translation of the evidentiary document; and 
  • A written statement signed by the translator, attesting that the translator is competent to translate the evidentiary document and that the English translation is an accurate and complete translation of the evidentiary document.

Arizona is a “closed record” state. That means that vital records are not public record. Arizona law restricts the public’s access to vital records as follows to protect the confidentiality rights of our citizens. Arizona Administrative Code (A.A.C.) R9-19-210 and R9-19-211 specifies that only the following may receive a certified copy of a birth certificate:

more information about your eligibility to obtain a certified copy of a birth certificate

Registrant (Self)

The registrant is eligible to receive a certified copy of their birth certificate if all of the following criteria are met:

  • The registrant is over 18 years of age.
  • The registrant submits a signed application
  • The registrant provides valid government issued identification or notarized signature on the application.
  • The registrant submits the appropriate fee(s).

If the registrant is less than 18 years of age, documentation that the registrant is emancipated, according to A.R.S. Title 12, chapter 15, or married is required (i.e. a certified court order documenting the registrant has been emancipated or a marriage certificate proving the registrant is married.)

Parent – Arizona Birth Certificate Application Form PDF

Parents of a child are eligible to receive a certified copy of a birth certificate if all of the following criteria are met:

  • The parent is named on the birth certificate.
  • If the parent is not listed on the birth certificate, either:
    • A certified copy of a court order of adoption or certificate of adoption for the registrant that names the applicant as the registrant’s parent.
    • A certified copy of a court order that names the applicant as the registrant’s parent.
  • The parent submits a signed application.
  • The parent provides valid government issued identification or notarized signature on the application.
  • The parent submits the appropriate fee(s).

Spouse – Arizona Birth Certificate Application Form Download

The spouse of a registrant is eligible to receive a certified copy of his/her spouse’s birth certificate if all of the following criteria are met:

  • The spouse provides a notarized letter of permission signed by the registrant. If the letter is not notarized, a copy of the registrant’s valid government issued identification must be presented along with the letter.
  • The spouse/applicant provides a copy of the marriage certificate for the registrant and spouse.
  • The spouse submits a signed application.
  • The spouse submits valid government issued identification or notarized signature on the application.
  • The spouse submits the appropriate fee(s).

Grandparent

The grandparent of a registrant is eligible to receive a certified copy of his/her grandchild’s birth certificate if all of the following criteria are met:

  • The grandparent must provide;
    • The birth certificate of their child, the parent who is named on the registrant’s birth certificate or
    • If the grandparent’s child (mother or father named on the registrant’s certificate) was born in Arizona, provide the name and date of birth of that child for verification in the Bureau of Vital Records’ Electronic Birth Registry System.
    • The grandparent submits a signed application.
    • The grandparent submits valid government issued identification or notarized signature on the application.
    • The grandparent submits the appropriate fee(s).

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Adult Child – Arizona Birth Certificate Application PDF

The adult child of a registrant is eligible to receive a certified copy of his/her parent’s birth certificate if all of the following criteria are met:

  • The adult child must:
    • Be at least 18 years of age
    • Produce a copy of his/her birth certificate which names the registrant as the parent of the applicant OR provide the full name and date of birth for the adult child born in Arizona.
    • Submit a signed application.
    • Submit a valid government issued identification or notarized signature on the application.
    • Submit the appropriate fee(s).

Adult Grandchild

The adult child of a registrant is eligible to receive a certified copy of his/her parent’s birth certificate if all of the following criteria are met:

  • The adult grandchild must be at least 18 years of age.
  • The adult grandchild must:
    • Submit a copy of his/her birth certificate which names the registrant’s child as the parent of the grandchild.
    • The grandchild shall submit a copy of his/her parent’s birth/death certificate that links the grandchild to the registrant.
    • If the births/deaths occurred in Arizona, a search can be completed in the applicable electronic registry system to verify the birth/death records.
    • The adult grandchild submits a signed birth application.
    • The adult grandchild submits valid government issued identification or notarized signature on the application.
    • The adult grandchild submits the appropriate fee(s).

Adult Brother Or Sister – Arizona Birth Certificate Application Online

The adult brother or sister of a registrant is eligible to receive a certified copy of his/her sibling’s birth certificate if all of the following criteria are met:

  • The adult brother or sister must be at least 18 years of age.
  • The adult brother or sister must:
    • Produce a copy of his/her birth certificate which shows at least one common parent shared by the applicant and registrant or
    • If the adult brother or sister child was born in Arizona, provide the name and date of birth of the adult brother or sister’s for verification in the Bureau of Vital Records’ Electronic Birth Registry System to confirm at least one common parent is shared by the applicant and the registrant.
    • The adult brother/sister submits a signed application.
    • The adult brother/sister submits valid government issued identification or notarized signature on the application.
    • The adult brother/sister submits appropriate fee(s).

Guardian – Arizona Birth Certificate Online Application

Arizona Birth Certificate Application Form PDF 2023 : The guardian is eligible to receive a certified copy of his/her birth certificate if all of the following criteria are met:

  • The guardian must:
    • Provide a copy of the Order for Permanent Guardianship of the registrant or
    • Provide a copy of the Order for Temporary Guardianship of the registrant. Note: The application must be filed within the time frame of the temporary order
    • The guardian submits a signed application.
    • The guardian submits valid government issued identification or notarized signature on the application.
    • The guardian submits the appropriate fee(s).

A person designated in a power of attorney

A person designated in a power of attorney, established by the individual’s parent or guardian according to A.R.S. §§ 14-5104 or 14-5107 is eligible to receive a certified copy of the birth certificate if all of the following criteria are met:

  • A copy of the power of attorney document
    • A power of attorney granted by a parent or guardian of a minor or incapacitated person, according to A.R.S.  §14-5104 is valid 6 months from the date the power of attorney document is signed or notarized.
    • A power of attorney granted by a military member who is a parent or guardian of a minor child or ward, according to A.R.S. §14-5107 is valid for (12 months) from the date the power of attorney documents are signed or notarized.
  • The person designated in the power of attorney submits a signed application.
  • The person designated in the power of attorney provides valid government issued identification or notarized signature on the application.
  • The person designated in the power of attorney submits the appropriate fee(s).

Conservator – Arizona Birth Certificate Application Form Download

The person appointed as the registrant’s conservator is eligible to receive a certified copy of the registrant’s birth certificate if all of the following criteria are met:

  • The conservator must:
    • Provide a certified copy of the court order establishing conservatorship.
    • Submit a signed application.
    • Submit a valid government issued identification or notarized signature on the application.
    • Submit the appropriate fee(s).

A person named in a court order

Arizona Birth Certificate Application Form PDF 2023 : A person named in a court order to receive a certified copy of a birth certificate is eligible to receive a certified copy of the registrant’s birth certificate if the following criteria are met:

  • The person named in the court order must:
    • Provide a certified copy of the court order.
    • Submit a signed application.
    • Submit a valid government issued identification or notarized signature on the application.
    • Submit the appropriate fee(s).

Attorney Representing the Registrant, Registrant’s Parent or Guardian

The attorney of the registrant, registrant’s parent or guardian is eligible to receive a certified copy of the registrant’s birth certificate if all of the following criteria are met:

  • The attorney must submit:
  • A completed, signed application or a letter of request on his/her letterhead stating their professional relationship to the registrant or registrant’s parent or guardian if the registrant is a minor. The letter must contain the following information:
    • The attorney’s name and state bar number
    • Contact information for the attorney (telephone number or an e-mail address)
    • Name of the person the attorney is representing
    • The person’s relationship to the registrant
    • The registrant’s name.
    • The registrant’s sex
    • The registrant’s date of birth
    • The name of the registrant’s mother prior to first marriage
    • If known, the:
      • State file number on the birth certificate
      • Town/city of the registrant’s birth
      • County of the registrant’s birth
      • Hospital where the registrant was born, if applicable
      • Name of the registrant’s father, if applicable; and
      • Dates of birth of the registrant’s parents.
  • The number of certified copies of the registrant’s birth certificate being requested
  • Arizona Administrative Code R9-19-211(E) states the request, must be notarized or the applicant shall submit a photocopy of a valid government-issued identification.
  • The attorney must provide documentation stating the attorney has been retained by the registrant, parent or guardian.
  • If applicable, a certified copy of the applicable court order (i.e. court order of adoption, certificate of adoption, etc). for the parent that proves parentage if the parent is not listed on the registrant’s birth certificate. If the attorney is representing the guardian, a court order of guardianship must be submitted.
  • The attorney submits appropriate fee(s).

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Adoption Agencies Representing Biological or Adoptive Parents

Arizona Birth Certificate Application Form PDF 2023 : Adoption agencies representing the adoptive or biological parents of a registrant are eligible for a certified copy of the registrant’s birth certificate if all of the following criteria are met:

  • The adoption agency must provide:
    • A completed, signed application or a letter of request on his/her letterhead stating their professional relationship to the biological or adoptive parents. The letter must contain the following information:
      • The name, license number and address of the adoption agency
      • The name and contact information for the adoption agency’s designee (telephone number or an e-mail address)
      • Name of the person the attorney is representing
      • The person’s relationship to the registrant
      • The registrant’s name.
      • The registrant’s sex
      • The registrant’s date of birth
      • The name of the registrant’s mother prior to first marriage
      • If known, the:
        • State file number on the birth certificate
        • Town/city of the registrant’s birth
        • County of the registrant’s birth
        • Hospital where the registrant was born, if applicable
        • Name of the registrant’s father, if applicable; and
        • Dates of birth of the registrant’s parents.
      • The number of certified copies of the registrant’s birth certificate being requested.
  • The application or letter must contain a notarized signature, or a signature along with a photocopy of the signer’s valid government issued photo identification.
  • A copy of the petition to adopt that includes the names of the registrant and the registrant’s biological parents or adoptive parents and that has been filed with a court.
  • If not included in the petition, a copy of a document stating the adoption agency is representing the biological parents or adoptive parents.
  • The adoption agency submits the appropriate fee(s).

Note: If the court records are not available, the adoption agency can have the birth parent complete the Bureau of Vital Records’ birth application and instruct the parent to enter the adoption agency’s name and address on the application in the mailing address field. A copy of the parent’s valid government issued picture identification must be included with application or the parent must sign the application in the presence of a notary. The application must be signed by the birth parent.

Private Attorney Representing Adoptive Parents

The attorney representing the adoptive parent(s) in an adoption proceeding is eligible to receive a certified copy of the registrant’s birth pre-adoption birth certificate if all of the following criteria are met:

  • The attorney must submit an application or letter of request on his/her letterhead stating their professional relationship to the adoptive parent(s), signed by the attorney. The letter must contain the following:
  • The attorney’s name and state bar number
  • Contact information for the attorney (telephone number or an e-mail address)
  • Name of the person the attorney is representing
  • The person’s relationship to the registrant
  • The registrant’s name.
  • The registrant’s sex
  • The registrant’s date of birth
  • The name of the registrant’s mother prior to first marriage
  • If known, the:
    • State file number on the birth certificate
    • Town/city of the registrant’s birth
    • County of the registrant’s birth
    • Hospital where the registrant was born, if applicable
    • Name of the registrant’s father, if applicable; and
    • Dates of birth of the registrant’s parents.
  • The number of certified copies of the registrant’s birth certificate being requested.
  • Arizona Administrative Code R9-19-211(E) states the request, must be notarized or the applicant shall submit a photocopy of a valid government-issued identification.
  • The attorney must provide documentation stating the attorney has been retained by the adoptive parents.
  • A copy of the petition to adopt that includes the names of the registrant and the registrant’s adoptive parents that has been filed with a court.
  • If the court records are not available, the attorney can have the birth parent complete the Bureau of Vital Records’ birth application and instruct the parent to enter the attorney’s name and address on the application in the mailing address field. A copy of the parent’s valid government issued picture identification must be included with application or the parent must sign the application in the presence of a notary. The application must be signed by the birth parent.
  • The attorney submits appropriate fee(s).

Government Agency Request – Arizona Birth Certificate Application PDF

Note: All birth certificates issued to any government agencies or entities shall be either printed or stamped “For Government Use Only” across the face of the certificate, including those charged a fee.

A governmental agency processing an adoption, a financial claim, a governmental application, or another form of compensation on behalf of an individual, or having another official purpose for a certified copy of the individual’s certificate of birth registration may request a certified copy of the individual’s certificate of birth registration by submitting to the State Registrar or a local registrar:

  • A completed, signed application or a letter of request on the governmental agency’s letterhead, that includes the following:
    • The governmental agency’s name and address
    • Contact information for the governmental agency (telephone number or an e-mail address)
    • The registrant’s name
    • The registrant’s sex
    • The registrant’s date of birth
    • The name of the registrant’s mother prior to first marriage
    • If known, the:
      • State file number on the birth certificate
      • Town/city of the registrant’s birth
      • County of the registrant’s birth
      • Hospital where the registrant was born, if applicable
      • Name of the registrant’s father, if applicable; and
      • Dates of birth of the registrant’s parents
    • A description of the:
      • Action the governmental agency is taking on behalf of the individual, or
      • The official purpose for which the government agency needs a birth certificate
    • The reason the governmental agency is requesting a certified copy of the registrant’s certificate of birth registration, and
    • The dated signature of the governmental agency’s designee, accompanied by:
  • A copy of the designee’s identification badge from the governmental agency verifying the designee is an employee of the governmental agency
  • The governmental agency submits appropriate fee(s), unless the governmental agency is an exempt agency.

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Government Agency Fee Exemption – Arizona Birth Certificate Application Form PDF 2023

Effective July 1, 2009, The Bureau of Vital Records will no longer provide free copies (certified or noncertified) to non-Arizona State government agencies. A fee shall not be collected for requests submitted by a state government agency (i.e. Department of Economic Security, etc.), however, request(s) received from a county, federal, or foreign government shall be charged the fee required by Arizona Administrative Code (A.A.C) R9-19-105.

An Agency is defined in Arizona Revised Statutes (A.R.S.) § 41-1001 as “any board, commission, department, officer or other administrative unit of this state, including the agency head and one or more members of the agency head or agency employees or other persons directly or indirectly purporting to act on behalf or under the authority of the agency head, whether created under the Constitution of Arizona or by enactment of the legislature. Agency does not include the legislature, the courts or the governor.

Agency does not include a political subdivision of this state or any of the administrative units of a political subdivision, but does include any board, commission, department, officer or other administrative unit created or appointed by joint or concerted action of an agency and one or more political subdivisions of this state or any of their units. To the extent an administrative unit purports to exercise authority subject to this chapter, an administrative unit otherwise qualifying as an agency must be treated as a separate agency even if the administrative unit is located within or subordinate to another agency.”

This list of governmental agencies provides examples of Arizona state government agencies, which are exempt from paying the fee(s) and non-Arizona state government agencies, which would be required to pay the fee(s). You may also refer to the State of Arizona’s website for an agency directory of Arizona state government agencies.

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