Kentucky Birth Certificate Form PDF Details

The Kentucky Birth Certificate, an essential document for citizens born in Kentucky since 1911, is obtainable through the Commonwealth of Kentucky's Office of the State Registrar of Vital Statistics. This document, identifying as Form VS-37 Rev 1.3.2020, requires applicants to provide detailed personal information, including the full name at birth, date and place of birth, and parental information. Additionally, it addresses scenarios such as adoption by asking for an original name if known. The form clearly outlines the steps an individual must take to request a certified copy of a birth certificate, emphasizing the non-refundable fee of $10.00 per copy. It also highlights the various methods available for submitting requests, such as online through VitalChek, by telephone, via mail with a check or money order, and a drop box option, albeit in-person services are currently on hold. Each submission method comes with an additional processing fee, and orders made over the internet or phone may include an extra charge for overnight courier delivery. This comprehensive form serves not only as a vital record but also as a gateway to accessing numerous services and exercising legal rights within and beyond the state of Kentucky.

QuestionAnswer
Form NameKentucky Birth Certificate Form
Form Length1 pages
Fillable?Yes
Fillable fields30
Avg. time to fill out6 min 19 sec
Other namesbirth certificate creator online, kentucky birth certificate, ky birth certificate application, kentucky birth certificate application

Form Preview Example

VS-37 Rev 1.3.2020

BIRTH

COMMONWEALTH OF KENTUCKY

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.

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:

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.

Currently all in-person services for the Office of Vital Statistics are suspended until further notice.

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