Kentucky Birth Certificate Application Form

Submit the completed Kentucky Birth Certificate Application Form along with a $10.00 fee to the following address: Vital Statistics, 275 East Main 1E-A, Frankfort, Kentucky 40621. Ensure your check or money order is payable to 'Kentucky State Treasurer'. For any queries regarding your application, contact the Office of Vital Statistics at 502-564-4212. It is advisable to retain a copy of the completed form and all correspondence for your records.

The Kentucky Birth Certificate Application Form is used to request an official copy of a birth certificate from the Commonwealth of Kentucky. This form is essential for individuals who need proof of birth for legal, identification, or personal purposes. By accurately filling out and submitting this form, you ensure that you receive an official copy of the birth certificate from the state's vital statistics office. This application is designed to gather all necessary information required to locate the birth record in the state's database. Applicants must provide details such as the name on the certificate, date of birth, county of birth, and parents' names. Including accurate and complete information helps the state's vital statistics office verify and process the request efficiently. Once the form is filled out and signed, it must be mailed along with the required fee to the Vital Statistics Office of Kentucky. Proper submission of this form not only ensures you receive the needed birth certificate but also supports prevention of child abuse and provision of coverage for inherited metabolic disease products as mandated by Kentucky law.

• 1. Name on Certificate: The full name of the person whose birth certificate is being requested.
• 2. Sex: The gender of the person named on the certificate.
• 3. Date of Birth: The exact date of birth of the person named on the certificate.
• 4. Kentucky County of Birth: The county in Kentucky where the birth occurred.
• 5. Mother's Full Maiden Name: The full maiden name of the mother of the person named on the certificate.
• 6. Father's Name: The full name of the father of the person named on the certificate.
• 7. Hospital: The name of the hospital where the birth took place.
• 8. Signature of Applicant: The signature of the person applying for the birth certificate.
• 9. Phone: The applicant's phone number, including area code and number.
• 10. Relationship To Person Named On Certificate: The relationship of the applicant to the person named on the birth certificate.
• 11. Certified Copies: Number of certified copies of the birth certificate requested.
• 12. Name and Mailing Address Required: The full name and mailing address where the birth certificate copies should be sent.

If you fail to submit the Kentucky Birth Certificate Application Form, you will not receive a copy of the requested birth certificate. This can lead to difficulties in situations that require official proof of birth.

• Lack of Legal Document: Failure to have an official birth certificate can hinder legal processes that require proof of birth.
• Identification Issues: You may face challenges in obtaining identification documents such as passports or driver's licenses.
• Delays in Personal Matters: Delayed submission can result in complications in personal and family-related matters requiring birth verification.

• 1. Newborn Birth Certificate: Parents should use this form to request a birth certificate for their newborn.
• 2. Proof of Identity: Individuals needing legal proof of their birth for identification purposes should use this form.
• 3. Genealogical Research: Genealogists can request birth certificates for ancestral research.
• 4. Passport Application: Use this form to obtain a birth certificate required for passport applications.
• 5. Legal Procedures: Legal authorities may require an official birth certificate for verification in legal matters.