The AR birth certificate form lets you apply for a certified copy of an Arkansas birth record from the Department of Health Vital Records. Before filling out the form, gather your applicant's full name at birth, date and place of birth, your reason for the request, and a valid photo ID.
What You Need Before Filling Out
- Full name at birth, including any alternate names the record may be filed under
- Date and county or city of birth in Arkansas
- Your relationship to the person named on the certificate
- Your reason for requesting the birth record
- A valid government-issued photo ID to attach with your application
- Payment of $12.00 for the first certified copy ($10.00 for each additional copy of the same record)
Steps to Fill Out the AR Birth Certificate Form
The arkansas birth certificate application form can be filled out quickly using FormsPal's free PDF editor. Follow the steps below:
Step 1: Click the "Get Form" button at the top of this webpage to open the form in our PDF tool.
Step 2: Use our PDF editor to complete all fields in the form. The tool supports text entry, graphics, and digital signature options to make your document look professional.
As for the blanks of this particular PDF, here is what you should know:
1. Start with the first section of the arkansas birth certificate application form, which includes the following fields:
2. Next, fill in these fields: What is your reason for requesting, Is the person whose certificate is, Yes, Signature and telephone number of, All requests for certificates, Telephone Toll free - All, Walk-in You may order a certified, HOW MANY - 1st copy costs $12.00 each, AMOUNT OF MONEY ENCLOSED, and Please PRINT the name and address.
3. Complete the remaining fields: Please PRINT the name and address and VR R. Every field in this section must be filled in.
Pay close attention when filling in Please PRINT the name and address and VR R, as errors in this section are the most common cause of delays or rejected applications.
Step 3: Review all your information and click "Done" to save and download your completed form. FormsPal stores your data securely so you can return to edit at any time.
Frequently Asked Questions
Who can request an Arkansas birth certificate?
The person named on the certificate, a parent or legal guardian, a spouse, an immediate family member, or an authorized legal representative can request a certified copy of an Arkansas birth record.
How long does it take to receive the birth certificate after submitting the form?
Standard mail orders typically take 4 to 6 weeks from the date the Arkansas Vital Records office receives your completed application. Expedited processing is available via phone, internet, or walk-in orders and provides a faster turnaround.
Is the $12.00 search fee refundable if no record is found?
No. The Arkansas Department of Health search fee is non-refundable. If the office cannot locate the record, the $12.00 fee is still charged. Providing all possible name variations and birth date ranges when submitting the form helps the office conduct a thorough search.
Can I request multiple copies on a single birth certificate application?
Yes. You can request additional copies of the same birth record on a single application. The first copy costs $12.00 and each additional copy of the same record costs $10.00.
Related Arkansas Vital Records Forms
If you need additional Arkansas vital records documents, FormsPal also offers the Arkansas death certificate application, the birth certificate application form, and birth affidavit forms.