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Alaska · Birth

Alaska Birth Certificate Application

Official state formFree downloadLast verified November 9, 2026

Request form for ordering a certified copy of an Alaska birth certificate. It is submitted by mail, fax or in person to Alaska Health Analytics and Vital Records (DOH-HAVRS).

Who can use this form

  • A parent listed on the current certificate
  • The person named on the certificate, if 14 or older, with a current school ID
  • A legal guardian with certified guardianship papers
  • A third party with a notarized letter of consent from the certificate holder or legal guardian
  • An attorney or government agency with a letter on letterhead and supporting documents

What to send with it

  • The completed and signed request form
  • A photocopy of your accepted ID (not the original)
  • Legal documentation if the request is not for yourself or your child
  • Payment by check or money order payable to Alaska Vital Records Office, or by card

Where to send it

Mail to
Health Analytics and Vital Records P.O. Box 110675 Juneau, AK 99811-0675
State fee
$30 for the first copy, $25 for each additional copy
Typical processing
About 8 to 12 weeks
Back to Alaska forms
Alaska Birth Certificate Application | Alaska Form