Alaska Heirloom Birth Gift Certificate Request
Official state formCommemorative certificatesFree downloadLast verified November 10, 2026
Form to buy a gift certificate for an heirloom birth certificate, a keepsake copy. Send it with payment to the state vital records office by mail, fax or in person. The two designs are "The Embrace" and "Polar Bears".
Who can use this form
- Anyone may buy a gift certificate
- No ID copy is needed
- The gift certificate is sent to the purchaser
What to send with it
- Completed form, typed or printed and filled in by hand
- Payment by check or money order to Alaska Vital Records Office, or card details on the form; cash only at walk-in offices
- Use one method only; sending the request twice means paying twice
Where to send it
- Mail to
- Health Analytics and Vital Records P.O. Box 110675 Juneau, Alaska 99811-0675
- State fee
- $55 first gift certificate, $50 each additional for the same record (of this, $25 goes to the Alaska Children's Trust). Shipping: regular mail free, Priority Mail $13, with signature $18.
- Typical processing
- Normally 4-6 weeks after the office receives the request; it can take longer in busy periods (form)
- Form revision
- Revision 04/2026
- Source
- Official government page