Birth Certificate Application – Nevada

The Birth Certificate Application, printed as Application for a Certified Copy of Birth Certificate, is the Nevada Division of Public and Behavioral Health (DPBH) form that asks the Office of Vital Records for one or more certified copies of a Nevada birth record.

The form collects the number of copies, the type of parental information to print on the certificate, the identifying details of the person on the certificate, and the applicant's relationship to that person and reason for the request. The applicant signs it and gives a mailing address, phone number and email address.

Two points printed on the form shape the request. First, Nevada holds records only of people born in Nevada; for a birth in another state, the form says to contact that state's vital records office. Second, the applicant must establish a direct relationship by blood or marriage, a legal relationship, or a need to facilitate a legal process, under NRS 440.650 and NAC 440.070.

You choose between two parental-information layouts: parents listed as "Mother / Father" or as "Parent / Parent". A fee applies to each certified copy, and a separate non-refundable search fee applies if no record is found; ask the Office of Vital Records for current amounts.

This form orders copies of an existing record. The agency's forms page lists separate packets for corrections and amendments, adoptions, parentage declarations and home or delayed births. Correction Affidavits cannot be used to add a parent or adopt a child.

Anyone who needs a certified copy of a Nevada birth certificate and can show the required relationship or legal need uses this form. The printed rule lists a direct relationship by blood or marriage, a legal relationship, or a need to facilitate a legal process.

The form singles out three applicants who are not asked for further proof of relationship: the informant, a listed surviving spouse, and a parent listed on the certificate. For anyone else, the request will be rejected if sufficient proof is not provided, such as a birth certificate or court order. The agency's website has more detail on the proof required.

Who should not use this form:

• People born outside Nevada. The state has records only of people born in Nevada and the form directs them to the vital records office of the birth state.
• People who want to correct or amend a record, add a parent or process an adoption. The agency's forms page lists separate correction, adoption and parentage forms for those purposes.

The form has one applicant signature line and does not describe signing on behalf of someone else.

Submit the form whenever you need a certified copy of a Nevada birth certificate. The form prints no deadline and no validity period.

Because proof of relationship and a copy of photo identification are required with the request, and payment must be made in full, gather those items before you send the form. A request that lacks sufficient proof of relationship can be rejected, unless the applicant is the informant, a listed surviving spouse or a parent listed on the certificate. If no record is found, a non-refundable search fee is applied. The form and the agency's forms page give no processing time; contact the Office of Vital Records with questions about timing.

The form prints one office for the request, the Office of Vital Records, and its contact details. Payment and attachments go with the application, and the form refers to mailing it.

• Office address on the form: 4150 Technology Way, Suite 104, Carson City, NV 89706.
• Phone: (775) 684-4242.
• Email: [email protected].
• Website: dpbh.nv.gov/vitalrecords.

Include with the application:

• a copy of the applicant's photo identification;
• proof of relationship, such as a birth certificate or court order;
• full payment, payable to Office of Vital Records. Checks, money orders and credit cards are accepted.

If you pay by credit card, add the "Authorization for Credit Card Use" form and the card holder's identification. Do not mail cash. A fee applies to each certified copy and a separate non-refundable search fee applies if no record is found; the amounts are on the agency's forms page, or ask the office by phone or email. FillingPDF lets you fill out and download the PDF; submission follows the channels above.