Edit, Download, and Sign the Minnesota Birth Certificate Request Form
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How do I fill this out?
To fill out the birth certificate request form, gather all necessary personal information. Ensure you have the exact details of the individual whose birth certificate you are requesting. Double-check your entries for accuracy before submission.

How to fill out the Minnesota Birth Certificate Request Form?
1
Gather required personal information about the child.
2
Provide your own details as the requester.
3
Indicate your relationship to the child.
4
Sign the form in front of a notary public.
5
Submit the form along with payment to the appropriate address.
Who needs the Minnesota Birth Certificate Request Form?
1
Parents requesting a birth certificate for their child.
2
Grandparents wanting a copy for family records.
3
Legal guardians requiring documentation for legal purposes.
4
Individuals needing proof of identity for job applications.
5
Adoption agencies conducting post-adoptive searches.
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What are the instructions for submitting this form?
Submit your completed form along with payment to the Minnesota Department of Health, Office of Vital Records via mail at PO Box 64499, St. Paul, MN 55164-0499. For expedited processing, consider using the express delivery option by paying the specified fee. Direct any queries to health.vitalrecords@state.mn.us or call 651-201-5970 for assistance.
What are the important dates for this form in 2024 and 2025?
For 2024, make sure to submit requests well in advance of key dates where certificate access is needed. In 2025, be aware of any legislative changes that may affect processing times or fees.

What is the purpose of this form?
The primary purpose of the birth certificate request form is to allow individuals to obtain official records for personal or legal needs. Birth certificates serve as essential documents for identity verification, legal proceedings, and family records. Completing this form accurately is critical for ensuring timely access to this important document.

Tell me about this form and its components and fields line-by-line.

- 1. Child/subject first name: Input the first name of the person whose birth certificate is being requested.
- 2. Child/subject last name: Provide the last name of the individual.
- 3. Date of birth (MM/DD/YYYY): Enter the date of birth in the specified format.
- 4. Requester full name: Input your full name as the requester.
- 5. Relationship to subject: Mark your relationship to the individual on the birth record.
- 6. Daytime phone: Provide a contact number for any follow-up questions.
What happens if I fail to submit this form?
Failure to submit this form correctly may result in delays in receiving the birth certificate or rejection of your application.
- Incomplete Information: Missing fields could lead to your application being returned.
- Notary Requirements: Your signature must be notarized; failure to do so will invalidate your request.
- Payment Issues: Ensure that payment is included, as the application cannot be processed without it.
How do I know when to use this form?

- 1. Legal Identification: Required for processing legal documents.
- 2. Family History Research: Helpful for genealogical studies or family records.
- 3. Proof of Birth: Necessary for applying for benefits or services.
Frequently Asked Questions
How do I apply for a birth certificate using this form?
Fill out the request form completely and accurately. Sign it before a notary public and submit it with the required payment.
Can I edit my application form before submitting?
Yes, you can edit your form using PrintFriendly's editing tools before you print and submit.
What if I need extra copies of the birth certificate?
You can request additional copies by specifying the number needed on the application form.
Is there a fee for obtaining a birth certificate?
Yes, there is a fee associated with processing the birth certificate request. See the form for specific amounts.
Who can request a confidential birth certificate?
Only individuals listed under relevant statutes, such as parents or legal guardians, may request a confidential birth record.
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What information do I need to fill out the form?
You'll need the child's full name, date of birth, city of birth, and the name of the parents.
Can I submit this request online?
Currently, submissions are processed by mail or fax as specified in the instructions on the form.
What if my application is rejected?
You'll receive a notification outlining the reason for rejection. You can then resubmit with the necessary improvements.
Can I get information about my application status?
Yes, you may contact the Office of Vital Records to inquire about the status of your request.