The Utah Birth certificate application, Form DHHS-OVRS-104, is the order form of the Office of Vital Records and Statistics (OVRS) for certified copies of a birth certificate on file in Utah. People order for themselves or for a relative, so the form asks for the applicant's relationship to the person named on the certificate and for acceptable identification. On FillingPDF you can fill out the form online and download or print the completed PDF; the OVRS publishes the original PDF and receives the order only through its own channels.
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What is DHHS-OVRS-104?
The Birth certificate application (DHHS-OVRS-104) is the form used to request a certified copy of a Utah birth certificate from the Office of Vital Records and Statistics (OVRS). It identifies the person named on the certificate, the applicant and the number of copies ordered.
The OVRS holds birth records from 1905 to the present. The form collects the full name on the certificate, birth date, birth city and county, hospital or place of birth, and the full names of Parent 1 and Parent 2. It then asks for the applicant's relationship to the certificate holder, contact details, the number of certificates and a fee worksheet. The worksheet has a search fee that includes one certified copy, lines for additional copies, shipping, expedited processing, expedited shipping and an amendment fee. All fees paid are non-refundable.
A second page lists the identification the OVRS accepts. The form warns that making false statements on it, or fraudulently obtaining a vital records certificate, is a criminal violation. The information you give is used only by DHHS to process your request and may also be accessed by contractors who are part of the DHHS technical team.
This is the English application for ordering a birth certificate. The OVRS Forms and Links page lists related documents separately: a Spanish application (APLICACIÓN PARA CERTIFICADO DE NACIMIENTO), a Birth Certificate for Adoptions form, a Stillbirth Certificate form and an Affidavit to Amend a Vital Record.
Who needs to file DHHS-OVRS-104?
Anyone ordering a certified copy of a Utah birth certificate that is not a public record uses this application. The form lists the applicant's relationship to the certificate holder as Self, Parent, Sibling, Spouse, Child, Grandparent or Grandchild. Any other relationship is marked Other, which requires documentary proof of relationship or legal need, and you specify it on the form. The form states that proof of relationship is required.
Identification is required for all non-public vital records, so every applicant needs acceptable, current ID. If you do not have acceptable identification, you can ask your spouse, parent, grandparent, sibling or adult child to show their appropriate identification to request the certificate. Proof of relationship is still required.
Do not use this application for other vital record services. The OVRS Forms and Links page lists separate documents for a stillbirth certificate, a birth certificate for adoptions and an affidavit to amend a vital record. The form also asks whether the certificate holder is still living; answer Yes or No in the checklist.
When to file DHHS-OVRS-104
The application has no deadline printed on it. You submit it whenever you need a certified copy of a birth record, and the OVRS holds birth records from 1905 to the present.
The one time limit on the form concerns missing information. If required information is missing, you have 90 days to provide it before your request is closed with no refund. Required fields are marked with an asterisk (*).
If you need faster service, the fee worksheet has Yes/No lines for expedited processing and expedited shipping (U.S. only). The form prints no processing time, so ask the OVRS at 801-538-6105 how long an order takes.
Documents you need
- Mailed requests: an easily identifiable photocopy of the front and back of your identification. The ID must be current, and the application is returned without it.
- One primary photo ID: government-issued photo driver's license or photo identification; employment authorization card; U.S. military ID; tribal ID; permanent resident card; foreign visa; U.S. passport.
- More primary photo IDs: U.S. passport card; foreign passport; U.S. naturalization certificate or certificate of citizenship; Matricula consular card; concealed weapon permit; Mexican voter registration card; jail/prison release form (with picture); Veteran's health ID card.
- Or two secondary IDs: work ID (paycheck stub or W-2); school, university or college ID card; voter registration card; Social Security card; U.S. military separation/DD-214; motor vehicle registration/title; certified marriage license with signatures, not an abstract.
- More secondary IDs: court order or court documents; jail/prison documents; probation documents; property tax receipt; Selective Service card; hunting/fishing license; insurance card or documents; utility bill; business license; professional license.
- Proof of your relationship to the certificate holder, which the form states is required.
- If you mark Other as your relationship: documentary proof of relationship or legal need.
- If a spouse, parent, grandparent, sibling or adult child requests the certificate because you lack acceptable ID: that person's appropriate identification and proof of relationship.
- Mailed requests: a check or money order to 'Vital Records' for the fees you owe.
How to fill out DHHS-OVRS-104
Complete the checklist
Tick the checklist items once they are true: application fully completed, payment ready (for mail, a check or money order to 'Vital Records') and ID ready (for mail, a copy of the ID). Answer Yes or No to whether the certificate holder is still living.
Enter the certificate holder's details
Under Identifying information, enter Full name on certificate*, Birth date*, Birth city and county* and Hospital or place of birth*. Starred fields are required.
Enter both parents' names
Enter Parent 1 full name* and Parent 2 full name*. A birth date is requested for each parent but is not marked required.
Select your relationship
Under Applicant, mark Relationship to certificate holder:* as Self, Parent, Sibling, Spouse, Child, Grandparent, Grandchild or Other. For Other, write the relationship in the Specify line; it requires documentary proof of relationship or legal need.
Enter your contact details
Enter Printed name*, Phone* and Address*. Email address is optional.
Enter the number of certificates
In Number of certificates*, enter how many you want. The search fee includes one certified copy; additional certified copies are a separate line.
Complete the fee worksheet
Mark Yes or No for expedited processing, expedited shipping (U.S. only) and the amendment fee. Add the fee lines that apply, using the amounts printed on the form, and write the Total fee.
Sign and date the application
Enter your Signature* and the Date*. The form warns that false statements are a criminal violation.
Prepare your ID and payment
Check the acceptable identification list on the second page and use one primary photo ID or two secondary IDs. For a mailed order, copy the front and back of the ID and prepare a check or money order to 'Vital Records'.
Review and download the completed PDF
Check that every starred field is complete, the names match the birth record and the total fee is right. Download or print the completed PDF from FillingPDF and submit it through one of the channels described under How to submit.
How to submit DHHS-OVRS-104
The form names three ways to order: online, by mail and in person.
- Online: the form says certificates may be ordered online at vitalrecords.utah.gov, and it prints a code to scan to order a birth certificate online.
- By mail: send the completed, signed application with a check or money order to 'Vital Records' and a photocopy of the front and back of your ID to Office of Vital Records and Statistics, PO Box 141012, SLC, UT 84114-1012. Mailed requests without an easily identifiable copy of acceptable ID are returned. A standard U.S. shipping fee applies to postal orders.
- In person: the physical address is 288 N 1460 W, SLC. The worksheet lists a credit card processing fee for in-person orders. The form prints no office hours.
The form also lists 801-538-6105, fax 801-538-7012 and [email protected] as contact details. For current fee amounts, use the OVRS fee list or call the office. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Mailing the application without a photocopy of the front and back of your ID; the form says the application will be returned.
- Sending expired identification; the form requires ID to be current.
- Using a novelty identification card (ID not issued by the government) or a Driving Privilege Card; the form says neither can be accepted.
- Sending one secondary ID when you have no primary photo ID; the form requires one primary ID or two secondary IDs.
- Leaving an asterisked field blank. You have 90 days to supply missing information, after which the request is closed with no refund.
- Marking Other as your relationship without documentary proof of relationship or legal need.
- Making the check or money order payable to anyone other than 'Vital Records' on a mailed order.
- Expecting a refund of the search fee or other fees; the form states all fees paid are non-refundable.
- Entering false information; the form calls false statements or fraudulently obtaining a vital records certificate a criminal violation.
Frequently asked questions
What is the Utah birth certificate application?
It is Form DHHS-OVRS-104, the Office of Vital Records and Statistics form for ordering a certified copy of a Utah birth certificate. It records who the certificate is for, who is applying and how many copies you want. Birth records are available from 1905 to the present.
Can I fill out the birth certificate application online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF does not submit it to the OVRS. The form also says certificates may be ordered online at vitalrecords.utah.gov, or you can mail or bring the application.
Who can request a Utah birth certificate?
The form lists self, parent, sibling, spouse, child, grandparent and grandchild. Any other relationship is marked Other and needs documentary proof of relationship or legal need. Proof of relationship is required, and you must show acceptable identification.
What ID do I need to order a Utah birth certificate?
You need current ID: one primary photo ID, or two secondary IDs from the list on the form's second page. Mailed requests must include a photocopy of the front and back. Novelty IDs and Driving Privilege Cards are not accepted.
What if I do not have acceptable identification?
Ask your spouse, parent, grandparent, sibling or adult child to show their appropriate identification to request the certificate for you. Proof of relationship is required in that case as well.
Where do I mail the Utah birth certificate application?
Mail it to Office of Vital Records and Statistics, PO Box 141012, SLC, UT 84114-1012, with a check or money order to 'Vital Records' and a copy of your ID. The physical address on the form is 288 N 1460 W, SLC.
Is the birth certificate fee refundable?
No. The form says all fees paid are non-refundable. It prints a search fee that includes one certified copy, plus lines for extra copies, shipping, expedited service and amendments. Check the form or call 801-538-6105 for current amounts.
What happens if I leave required information off the application?
You have 90 days to provide the missing information. If you do not, the OVRS closes the request with no refund. Required fields are marked with an asterisk (*) on the form.
Is there a Spanish version of the birth certificate application?
Yes. The OVRS Forms and Links page lists a Spanish application titled APLICACIÓN PARA CERTIFICADO DE NACIMIENTO, separate from this English form.
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