Blank Kentucky Birth Certificate PDF Form

Blank Kentucky Birth Certificate PDF Form

The Kentucky Birth Certificate form is an official document used to request a certified copy of a birth certificate for individuals born in Kentucky since 1911. This form requires specific information, including the full name at birth, date of birth, and parental details. To obtain a certified copy, complete the form and follow the submission instructions provided.

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The Kentucky Birth Certificate form, officially designated as VS-37 Rev 1.3.2020, serves as a crucial document for individuals seeking a certified copy of a birth certificate in the Commonwealth of Kentucky. This form is essential for anyone born in Kentucky since 1911, as it contains vital information necessary for the application process. Sections 1 through 13 must be filled out clearly, providing details such as the individual's full name at birth, date of birth, and place of birth, including the city or town and county. Additionally, the form requires information about the parents, including the mother’s maiden name and the father’s name. In cases of adoption, the original name of the child, if known, should also be included. The relationship of the requestor to the individual named on the certificate must be specified, along with the requestor's contact information, including phone number and mailing address. A signature from the requestor is mandatory, affirming the accuracy of the provided information. Importantly, the application process involves a non-refundable fee of $10.00 for each certified copy requested, with multiple payment methods available, including online orders, telephone requests, and mail submissions. For added convenience, a drop box is located at the Office of Vital Statistics for in-person applications, although all in-person services are currently suspended. Understanding these components is vital for a smooth application process and ensures that individuals can obtain their birth certificates efficiently.

Document Sample

VS-37 Rev 3.30.2023

 

 

COMMONWEALTH OF KENTUCKY

BIRTH

STATE REGISTRAR OF VITAL STATISTICS

APPLICATION FOR A CERTIFIED COPY OF BIRTH CERTIFICATE

 

Certificates of Birth that occurred in Kentucky since 1911 are on file in this office

 

Please Print or Type Sections 1 through 13.

PRINT

RESET

BIRTH CERTIFICATE INFORMATION

1.

Full Name at Birth

 

 

First

Middle

 

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Date of Birth

 

 

Month

 

 

Day

 

Year

Sex

 

Age Last Birthday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Place of Birth

 

Kentucky City or Town

 

Kentucky County

 

 

Name of Hospital

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Mother’s Maiden

 

 

First

 

Middle

 

 

 

Last

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Father’s Name

 

 

First

 

Middle

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

If this child has been adopted, please give

 

First

 

 

 

Last

 

 

 

 

 

 

 

 

 

original name if known

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

What is your relationship to the person whose certificate is being

 

 

Relationship

 

 

 

 

 

 

requested?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Requestor’s Printed Name

 

 

 

First

 

 

 

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.

Requestor’s Phone Number

 

 

 

 

Phone Number With Area Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Requestor’s Mailing Address

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Requestor’s City, State, Zip

 

 

 

 

 

City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Requestor’s Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO NOT WRITE IN THIS SPACE

Volume

Certificate

Year

Date

Searched by

13. FEES – NON REFUNDABLE

A fee is to be paid for certified copies or records, or for a search of the files or records when no copy is available. The fee for a certified copy of a birth certificate is $10.00 U.S. Additional copies are $10.00 U.S. each. Make check or money order payable to “Kentucky State Treasurer.” This fee is non refundable.

________ Certified Copies @ $10.00 each

= $

 

How many

 

Total payment

Certificates may also be ordered by the following methods:

In Person: The Office of Vital Statistics is located at 275 East Main Street in Frankfort. Visit our lobby and complete an application for a certified copy of a birth, death, marriage or divorce certificate from 8 a.m. to 4:30 p.m. Eastern Standard Time (EST), Monday through Friday, excluding official state holidays. Orders received after 3:30 p.m. Eastern time will be processed the next business day.

Internet: Certificates may be ordered on the internet using a credit card (Visa, MasterCard, Discover or American Express) or check. An additional charge card fee will apply. This is in addition to the fee for each certified copy requested. Certificates requested via internet at this website: https://www.vitalchek.com/birth-certificates/kentucky/kentucky-office-of-vital-statistics may be returned by overnight courier for an additional shipment fee (if that record is available).

Telephone: Orders may be placed by telephone using a credit card (Visa, MasterCard, Discover or American Express) or check. An additional processing fee will apply. This processing fee is in addition to the fee for each certified copy requested. Certificates requested via telephone may be returned by overnight courier for an additional fee. The telephone number to place your order is (800) 241-8322, choose option 1.

Mail: Orders are accepted by mail, using a check or money order in U.S. dollars drawn on a U.S. bank for payment. It can take up to 30 working days to process your request from the date payment is posted. Mail application and payment to Vital Statistics, 275 East Main Street 1E-A, Frankfort, KY 40621. The Office of Vital Statistics telephone number is (502) 564-4212.

Drop Box: The Office of Vital Statistics installed a drop box at the visitor entrance at 275 E. Main St., Frankfort for applications for certified copies of birth, death, marriage and divorce certificates. Blank applications are provided on the drop box.

File Specifics

Fact Name Description
Governing Law The Kentucky Birth Certificate form is governed by Kentucky Revised Statutes, Chapter 213, which outlines the management of vital statistics.
Eligibility Individuals may request a certified copy of a birth certificate if they are the person named on the certificate or have a direct relationship to that person.
Fee Structure The fee for a certified copy of a birth certificate is $10.00. This fee is non-refundable and applies to each additional copy requested.
Ordering Methods Birth certificates can be ordered online, by phone, by mail, or via a drop box located at the Office of Vital Statistics.
Processing Time Requests made by mail may take up to 30 working days to process from the date the payment is posted.
Historical Records Birth certificates for individuals born in Kentucky since 1911 are available through the Office of Vital Statistics.

How to Use Kentucky Birth Certificate

Filling out the Kentucky Birth Certificate form is an important step in obtaining a certified copy of a birth certificate. After completing the form, you will be able to submit it through various methods, such as by mail or online, depending on your preference. Below are the steps to guide you through the process of filling out the form.

  1. Full Name at Birth: Enter the first, middle, and last name of the individual as it appears on the birth record.
  2. Date of Birth: Fill in the month, day, and year of birth, as well as the sex and age at the last birthday.
  3. Place of Birth: Indicate the city or town and county in Kentucky where the birth occurred. Include the name of the hospital if applicable.
  4. Mother’s Maiden Name: Provide the first, middle, and last name of the mother as it was before marriage.
  5. Father’s Name: Enter the first, middle, and last name of the father.
  6. Adoption Information: If the child has been adopted, provide the original first and last name if known.
  7. Relationship to Certificate: State your relationship to the person whose certificate you are requesting.
  8. Requestor’s Printed Name: Write your first and last name as the person requesting the certificate.
  9. Requestor’s Phone Number: Include your phone number with the area code.
  10. Requestor’s Mailing Address: Fill in your street address.
  11. Requestor’s City, State, Zip: Provide your city, state, and zip code.
  12. Requestor’s Signature: Sign your name in the designated space.
  13. Fees: Calculate the total fee for the number of certified copies requested, noting that each copy costs $10.00. Remember that this fee is non-refundable.

Your Questions, Answered

What information is required to fill out the Kentucky Birth Certificate form?

To complete the Kentucky Birth Certificate form, you will need to provide several key pieces of information. This includes:

  • The full name of the individual at birth, including first, middle, and last names.
  • The date of birth, specifying the month, day, and year.
  • The place of birth, including the city or town and county in Kentucky, as well as the name of the hospital if applicable.
  • The mother’s maiden name and the father’s name, both with first, middle, and last names.
  • If the child has been adopted, the original name should be provided if known.
  • Your relationship to the individual whose certificate is being requested.
  • Your printed name, phone number, mailing address, and signature.

How much does it cost to obtain a certified copy of a birth certificate in Kentucky?

The fee for a certified copy of a birth certificate in Kentucky is $10.00. If you need additional copies, each one will also cost $10.00. It is important to note that these fees are non-refundable, meaning that once you pay, you cannot get that money back, even if the certificate is not available.

What are the payment methods accepted for ordering a birth certificate?

You can pay for a birth certificate using several methods:

  1. Internet: You can order online using a credit card (Visa, MasterCard, Discover, or American Express) or by check. Be aware that an additional processing fee will apply for online orders.
  2. Telephone: Orders can be placed over the phone using a credit card or check. Similar to online orders, a processing fee will apply.
  3. Mail: You can send your application and payment by mail using a check or money order. This method may take up to 30 working days to process.
  4. Drop Box: A drop box is available at the visitor entrance of the Office of Vital Statistics for submitting applications. Blank applications can be found at the drop box.

How long does it take to process a birth certificate request?

The processing time for a birth certificate request can vary depending on the method used to submit your application. If you order by mail, it can take up to 30 working days from the date your payment is posted. Online and telephone requests may be processed more quickly, but specific times can depend on the volume of requests being handled at that moment.

Can I request a birth certificate for someone else?

Yes, you can request a birth certificate for someone else, but you must indicate your relationship to that person on the application form. This relationship can be a parent, grandparent, sibling, or another legal connection. Keep in mind that certain restrictions may apply based on privacy laws, so ensure that you provide accurate information.

What if I need the birth certificate urgently?

If you need a birth certificate urgently, consider ordering it online or by phone, as these methods may offer faster processing times. Additionally, you can choose to have the certificate sent via overnight courier for an extra fee. Always check the current processing times and fees to ensure you choose the best option for your needs.

What should I do if I encounter issues while filling out the form?

If you face any difficulties while completing the Kentucky Birth Certificate form, you can contact the Office of Vital Statistics directly at (502) 564-4212 for assistance. They can provide guidance on how to fill out the form correctly and answer any specific questions you may have about the process.

Common mistakes

  1. Failing to provide the full name at birth. It is essential to include the first, middle, and last names as they appear on the original birth record.

  2. Incorrectly entering the date of birth. The format should be month, day, and year. Double-check for accuracy to avoid delays.

  3. Omitting the place of birth. This includes the city or town and county in Kentucky, as well as the name of the hospital where the birth occurred.

  4. Not providing the mother’s maiden name and the father’s name correctly. Ensure that both names are complete and accurate to prevent issues in processing the application.

  5. Neglecting to include the requestor’s relationship to the person whose certificate is being requested. This information is necessary for verification purposes.

Documents used along the form

When applying for a certified copy of a birth certificate in Kentucky, there are several other forms and documents that may be necessary or helpful. Each of these documents serves a specific purpose and can assist in various situations related to vital records. Below is a list of commonly used forms and documents associated with the Kentucky Birth Certificate application.

  • Application for a Certified Copy of Death Certificate: This form is used to request a certified copy of a death certificate. It includes information about the deceased, such as their full name, date of birth, and date of death.
  • Application for Marriage License: This document is required for couples planning to marry in Kentucky. It includes personal information about both parties, including their birth dates and places of birth.
  • Application for Divorce Decree: If a divorce has occurred, this form is used to obtain a certified copy of the divorce decree. It typically requires details about the marriage and the parties involved.
  • Affidavit of Parentage: This document may be used to establish the legal parentage of a child when parents are unmarried. It often requires signatures from both parents and may need to be notarized.
  • Change of Name Petition: Individuals wishing to change their name must complete this petition. It outlines the reason for the name change and includes personal identification details.
  • Application for a Certified Copy of Adoption Records: This form is used to request records related to an adoption. It typically requires information about the adopted child and the adoptive parents.
  • Identification Documents: Valid identification, such as a driver's license or passport, is often required when submitting applications for vital records. This helps verify the identity of the requestor.

These documents play an important role in various legal and personal matters. It is advisable to gather all necessary forms and information before submitting a request to ensure a smooth process.

Similar forms

The Kentucky Birth Certificate form is similar to a Marriage Certificate in that both documents serve as official records of significant life events. A Marriage Certificate captures the details of a marriage, including the names of the spouses, the date of the marriage, and the location where it took place. Just like a birth certificate, it requires specific information about the individuals involved and is often needed for legal purposes, such as changing a name or applying for certain benefits.

Another document similar to the Kentucky Birth Certificate is the Death Certificate. This document provides official confirmation of a person's death and includes essential details such as the deceased's name, date of birth, date of death, and place of death. Both certificates are vital records maintained by the state and may be required for settling estates, claiming insurance benefits, or other legal matters.

A Social Security Card is also comparable to a Birth Certificate. While the Social Security Card does not serve as proof of birth, it is often issued based on the information provided in the Birth Certificate. Both documents are crucial for establishing identity and eligibility for government benefits. A Birth Certificate is typically required when applying for a Social Security Card for the first time.

Similarly, a Passport shares some similarities with the Kentucky Birth Certificate. A Passport is an official document that certifies a person's identity and citizenship. To obtain a passport, applicants usually need to provide a Birth Certificate as proof of their identity and date of birth. Both documents are essential for travel and identification purposes.

The Adoption Certificate is another document that parallels the Birth Certificate. When a child is adopted, an Adoption Certificate is issued, which may include the child's new name and the names of the adoptive parents. This document serves as a legal record of the adoption and can be used in place of a Birth Certificate for various legal purposes, such as obtaining a driver’s license or enrolling in school.

A Driver's License also bears similarities to the Kentucky Birth Certificate. While a Driver's License is primarily an identification document for operating a vehicle, it often requires the presentation of a Birth Certificate to verify the applicant's identity and age. Both documents are essential for establishing legal identity in various situations.

The School Enrollment Form is another document that can be compared to the Birth Certificate. When enrolling a child in school, parents often need to provide a Birth Certificate to verify the child's age and identity. This document ensures that the child meets the age requirements for enrollment, similar to how a Birth Certificate serves as proof of birth.

Lastly, a Military Service Record is similar to the Kentucky Birth Certificate in that it documents significant life events. This record includes details about an individual's service in the military, such as enlistment and discharge dates. Like a Birth Certificate, it serves as an official record and may be needed for benefits, employment, or other legal matters related to military service.

Dos and Don'ts

When filling out the Kentucky Birth Certificate form, it’s essential to be careful and accurate. Here’s a helpful list of things to do and avoid:

  • Do: Print or type clearly in Sections 1 through 13 to ensure legibility.
  • Do: Double-check all personal information, such as names and dates, to avoid mistakes.
  • Do: Include a valid payment method, as the fee is non-refundable.
  • Do: Sign the requestor's signature line to validate your application.
  • Don't: Leave any required fields blank; this may delay processing.
  • Don't: Forget to provide your contact information, including phone number and mailing address.
  • Don't: Use abbreviations or nicknames for names; full legal names are required.
  • Don't: Submit the form without reviewing it thoroughly for errors.

Misconceptions

Understanding the Kentucky Birth Certificate form can be challenging, and several misconceptions often arise. Here are ten common misunderstandings clarified:

  1. Only parents can request a birth certificate. Many believe that only a child's parents can obtain a birth certificate. In reality, anyone with a legitimate relationship to the individual named on the certificate can make the request.
  2. Birth certificates are free. Some assume that obtaining a birth certificate incurs no cost. However, there is a fee of $10.00 for each certified copy, and this fee is non-refundable.
  3. All requests can be processed immediately. It is a common misconception that all requests for birth certificates are processed on the spot. In fact, processing times can take up to 30 working days if submitted by mail.
  4. Online requests are not secure. Many people worry about the security of online requests. However, the official website for ordering certificates uses secure payment methods, ensuring that personal information is protected.
  5. You must provide the original birth name for adopted individuals. Some think they must know the original name of an adopted child to request a birth certificate. This is not true; it is sufficient to provide the adopted name.
  6. Only original documents are accepted. There is a belief that only original documents can be submitted. In fact, copies of required documents are often acceptable, depending on the specific request.
  7. All birth certificates are available online. Many assume that all birth certificates can be accessed through the internet. However, only records from 1911 onward are available, and not all records may be digitized.
  8. You can only pay by check or money order. While checks and money orders are accepted, individuals can also use credit cards for online or telephone orders, which provides additional payment flexibility.
  9. In-person services are always available. Some believe that they can always visit the Office of Vital Statistics for assistance. Currently, in-person services are suspended, and requests must be made through other methods.
  10. Fees apply only for certified copies. It is often thought that fees are only for certified copies. However, a fee also applies for searches of the files, even if no copy is found.

By addressing these misconceptions, individuals can navigate the process of obtaining a Kentucky birth certificate more effectively and with greater confidence.

Key takeaways

  • Complete the Form Accurately: Ensure that all sections from 1 to 13 are filled out completely and accurately. This includes the full name at birth, date of birth, and place of birth.

  • Provide Parent Information: Include the mother’s maiden name and the father’s name. This information is crucial for the identification of the birth record.

  • Indicate Relationship: Clearly state your relationship to the person whose birth certificate you are requesting. This helps verify your right to access the record.

  • Understand the Fees: A non-refundable fee of $10.00 is required for each certified copy of the birth certificate. Additional copies will also cost $10.00 each.

  • Payment Methods: You can pay via check or money order made out to “Kentucky State Treasurer.” Credit card payments are accepted for online and telephone orders, but additional fees may apply.

  • Order Options: Certificates can be ordered online, by telephone, by mail, or via drop box. Each method has its own processing times and fees.

  • Processing Time: If you order by mail, processing may take up to 30 working days from the date your payment is posted. Plan accordingly if you need the certificate by a specific date.

  • Check for Updates: Since in-person services are currently suspended, always check the Office of Vital Statistics website or call for the latest information on service availability.