California Birth Certificate Application (Form VS 111) (VS 111)
Official state formForm VS 111Free downloadLast verified November 9, 2026
Form VS 111 is used to request a certified copy of a California birth certificate. It is mailed to the California Department of Public Health, Vital Records (CDPH-VR).
Who can use this form
- The person named on the record
- A parent, legal guardian, child, grandparent, grandchild, sibling, spouse or domestic partner of that person
- An attorney, or a person with a court order or power of attorney, acting for that person
- Law enforcement or government agency staff on official business
- Anyone else may request an informational copy, which is not valid to establish identity
What to send with it
- The completed application (Form VS 111)
- A notarized sworn statement (required for an authorized copy, not for an informational copy)
- The state fee by check or money order in US dollars payable to CDPH-Vital Records (no cash)
Where to send it
- Mail to
- California Department of Public Health Vital Records - MS 5103 P.O. Box 997410 Sacramento, CA 95899-7410
- State fee
- $31 per certified copy
- Typical processing
- About 4 to 6 weeks by mail
- Source
- Official government page