Division of
Vital Records, Oklahoma State Department of Health
1000 Northeast 10th Street, Post Office Box 53551
Oklahoma City, Oklahoma 73152-3551
APPLICATION FOR SEARCH AND CERTIFIED COPY OF BIRTH CERTIFICATE
Facts Concerning This Birth
If both parents names are not indicated on the original certificate of birth and a "full copy" is desired it will be necessary to have the signature of the mother, or the registrant if of legal age, or if certificate is required for "adoption purposes" the signature of the attorney of record and a statement from him to that effect.
The above signature is by (
) person himself-herself ( ) next-of-kin ( )
authorized agent
Purpose for which this copy is
needed
( ) School ( )Passport (
)Employment ( )Adoption (
)Other (Please state)___________________
Has copy of this persons birth
certificate been received before? ( ) Yes ( )
No ( )Unknown
PLEASE PRINT
CORRECT MAILING ADDRESS BELOW:
Request for a search of the records for a birth certificate of any person born in Oklahoma should be submitted on this form along with the required fee of $5.00 If the birth record is on file, a certified copy will be mailed. If no record of the birth is found, then blanks and instructions for filing a "delayed" birth certificate will be sent. This fee will be credited on the $10.00 fee required for the first ceritified copy from the delayed record after it has been placed on file.
The information requested above should be filled in carefully and accurately. It is the minimum needed in the Vital Records office to make a thorough search for any birth record.
Send five dollars ($5.00) in cash, money order or check for each copy desired. Cash is sent at sender's risk. Make checks or money orders payable to the State Department of Health.
A copy required to be
submitted to the Veterans Administration or U.S. Commissioner of
Pensions, in connection with a claim for
military-service-connected benefits may be obtained without fee
provided a signed statement is attached which sets forth these
facts and requests that the copy be issued without fee. Members
of the armed forces and veterans must pay regular fees for copies
to be used for all other purposes.
VS 151 R8-91
PRINT THIS PAGE
Return to
How To Obtain An
Oklahoma Birth Or Death Certificate
Return to
OKTAGAGENT.COM
Oklahoma Motor Vehicle Tax Commission Division Department of Public Safety Transportation
Revenue Taxation Property Tax Requirements
Copyright April, 2000, OKtagagent.com