Florida Vital Statistics
On-Line Forms and Brochures
Applications For Florida Birth Records | Applications
For Florida Death Records
Applications For
Marriage and Divorce Records | Birth and
Death Certification Affidavit | Apostille
Amendment Forms
| Death Report Delay (DRD) |
Affidavit to Amend FL Certificates
Paternity Acknowledgement Forms |
Putative Father Forms |
Fetal Demise Form | Brochures
|
Adobe Acrobat Reader
is required to open all forms.
The majority of the Vital Statistics Forms can be easily completed online using your computer
and then printed for submission. You can mail or fax the completed form to the
Bureau of Vital
Statistics. The mailing address and fax number are both located on each form.
The applications listed below apply only to Florida records.
Forms requiring a fee must be mailed.
Applications For Florida Birth Records
After completing the form please print, sign and mail to the address on the form.
When mailing please send any associated fees with your completed application.
If you need an
Apostille Certification see the Apostille section.
Application for Birth Record (Form DH 726) (English 131kb pdf)
Application
for Birth Record (Form DH 726S) (Spanish 137kb pdf)
Application
for Birth Record (Form DH726H) (Creole
131kb pdf)
Application for Commemorative Birth Record (Form DH 726C) (English 123kb)
Application for Certificate of Birth Resulting in Stillbirth (Form DH 728) (English 675kb pdf)
Application
For Certificate Of Foreign Birth (Form DH 1178) (English 983kb pdf)
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Applications For Florida Death Records
These forms can be completed online from your computer.
After completing the form please print, sign and mail to the address on the form.
When mailing please send any associated fees with your completed application
If you need
an Apostille Certification see the Apostille
section.
Application for a Death Record (Form DH 727) (English 400kb pdf)
Application for a Death Record (Form DH 727S) (Spanish 400kb pdf)
Application for a Death Record (Form DH 727H) (Creole 400kb pdf)
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Applications For Marriage and Divorce Records
These forms can be completed online from your computer.
After completing the form please print, sign and mail to the address on the form.
When mailing please send any associated fees with your completed application
If you need an
Apostille Certification see the Apostille section.
Application for Marriage Record (Form DH 261) (English 141kb pdf)
Application
for Marriage Record (Form DH 261S) (Spanish
145kb pdf)
Application
for Marriage Record (Form DH 261H) (Creole 141kb pdf)
Application for Commemorative Marriage Record (Form DH 261C) (English
108kb)
Application for Divorce
or Annulment Record (Form DH 260) (English
138kb pdf)
Application for Divorce and Annulment Record (Form DH 260S) (Spanish
142kb pdf)
Application for Divorce or Annulment Record (Form DH 260H)
(Creole 139kb pdf)
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Birth
and Death Certification Affidavit
This form must be
printed then completed.
When mailing please send any associated fees with your completed application.
Birth
Certification Affidavit (Form DH 1958) (English 44k pdf)
Death Certification Affidavit (Form DH 1959)
(English 45K pdf)
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Apostille
These forms can be completed online from your computer.
After completing the form please print, sign and mail to the address on the form.
When mailing please send any associated fees with your completed application
Applications for
Apostille Certificates
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Affidavits to Amend Florida Certificates
These forms can be completed online from your computer.
After completing the form please print and sign in the presence of a Notary.
Affidavit to Amend a Florida Birth Certificate (Form DH 430) (350kb pdf)
Affidavit to Amend a Florida Death Certificate (Form DH 433) (370kb pdf)
Affidavit to Amend a Florida Fetal Death Certificate (Form DH 433A) (730kb pdf)
Affidavit of
Medical Amendment to Death Certificate (Form DH 434A) (70kb pdf)
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Amendment Forms
After completing the form please print, sign and mail to the address on the form.
When mailing please send any associated fees with your completed application
Report Of Legal Change of Name (Form DH 427) (English 43kb pdf)
Instructions for Amending a Birth Certificate (Form DH 660) (English 46kb pdf)
Application For Amendment To Florida Birth Record (Form DH 429) (English 1.2mb pdf)
Application For Amendment To Florida Birth Record (Form DH 429S) (Spanish 1.2mb pdf)
Application For Amendment To Florida Birth Record (Form DH 429H) (Creole 1.1mb pdf)
Instructions for Correcting a Death Certificate (Form DH 670) (English 58kb pdf)
Application For Amendment To Florida Death Record (Form DH 524) (English 955kb pdf)
Application For Amendment To Florida Death Record (Form DH 524S) (Spanish 915kb pdf)
Application For Amendment To Florida Death Record (Form DH 524H) (Creole 880kb pdf)
Certified Statement Of Final Decree Of Adoption (Form DH 527) (870kb pdf)
Certified Statement of Final Order Of Affirmation Of Parental Status (Form DH
1905) (420kb pdf)
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Death Report Delay (DRD)
This form can be completed using your computer or printed and completed manually.
Death Report Delay (Form DH 1355) (English 735 kb pdf)
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Paternity Acknowledgement
These forms can be completed online from your computer.
After completing the form please print, sign and mail to the address on the form.
When mailing please send any associated fees with your completed application
Acknowledgement of Paternity (Form DH 432) (English 680kb pdf - must print on legal size paper)
Acknowledgement of Paternity (Form DH 432S) (Spanish 740kb pdf
-must print on legal size paper)
Acknowledgement of Paternity (Form DH 432H) (Creole
660kb pdf - must print on legal size paper)
Paternity Acknowledgement Rescission Affidavit (Form DH 2102) (English 560kb pdf)
Certified Statement of Final Judgment of Paternity (Form DH 673) (390kb pdf)
What a
Parent must know before Signing the Paternity Acknowledgement by Natural Parents
(Form DH 1568)
(English 23kb pdf doc)
What a
Parent must know before Signing the Paternity Acknowledgement by Natural Parents
(Form DH 1568S)
(Spanish 25kb pdf doc)
What a
Parent must know before Signing the Paternity Acknowledgement by Natural Parents
(Form DH 1568H)
(Creole 25kb pdf doc)
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Putative Father Forms
These forms can be completed online from your computer.
After completing the form please print, sign and mail to the address on the form.
When mailing please send any associated fees with your completed application
Florida Putative Father Registry Claim of Paternity (Form DH 1965) (English
123kb pdf)
Florida Putative Father Registry Claim of Paternity (Form DH 1965S) (Spanish
123kb pdf)
Florida Putative Father Registry Claim of Paternity (Form DH 1965H) (Creole
116kb pdf)
Florida Putative Father Registry Update Claim of Paternity (Form DH 1964) (English
157kb pdf)
Florida Putative Father Registry Update Claim of Paternity (Form DH 1964S) (Spanish
183kb pdf)
Florida Putative Father Registry Update Claim of Paternity (Form DH 1964H) (Creole
152kb pdf)
Florida Putative Father Registry Search (Form DH 1963) (English
166kb pdf)
Florida Putative Father Registry Search (Form DH 1963S) (Spanish
168kb pdf)
Florida Putative Father Registry Search (Form DH 1963H) (Creole
152kb pdf)
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Fetal Demise Form
This form can be completed online from your computer.
After completing the form please print, sign and mail to the address on the form.
When mailing please send any associated fees with your completed application.
This form is for use by physicians to notify a mother of options available for disposition
of fetal remains.
Notification of
Disposition of Fetal Demise (Form DH 1966) (English 410kb pdf)
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Brochures
Birth Resulting in Stillbirth (English 3.45mb pdf)
Electronic Birth Registration (EBR) (English 125kb pdf)
Putative Father
Registry (English 360kb pdf)
Identity Theft (English 165kb pdf)
Physicians' Online Tutorial for Completing Cause of Death on the Florida Death
Record (English 204kb pdf)
What the Physician Should Know about Certifying Cause of Death on the Florida Death Certificate
(English 313kb pdf)
Electronic Death Registration
System (EDRS) - Completing the Medical Information (English
740kb pdf)
This brochure covers the process of how the medical
information is completed by the Physician via the Electronic Death
Registration System (EDRS).
What You Need to Know Before Signing Your Baby's Birth Certificate (English 348kb pdf)
This brochure is designed to assist prospective parents by providing information they need to know
prior to the delivery of their child, such as naming the child, father information when the mother is
unmarried, healthy start, obtaining the child's social security number, etc. Copies are also available
at the local county health vital statistics office.
Lo Que Debe Saber Antes De Firmar
El Certificado De Nacimiento De Su Bebé (Spanish 106kb pdf)
Este folleto está
diseñado para ayudar a los futuros padres por proporcionar la información
que necesitan para
saber antes de la entrega de su hijo, tales como nombres del niño, el
información de padre
cuando la madre
está soltera, comienzo sano, obtener el número de seguro social del niño, etc..
Copias también
están disponibles en la Oficina de estadísticas vitales de salud del condado
local.
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