Connecticut Request for Certification of Birth Registration or Certification of Foreign Birth (VRA-11)
Official state formAdoptionForm VRA-11Free downloadLast verified November 10, 2026
Request to the Adoption Unit of the Connecticut Department of Public Health for a Certification of Foreign Birth (full) or a Certification of Birth Registration (wallet) for a person born outside the country and adopted by Connecticut residents.
Who can use this form
- The front of the form names the adoptive parent or parents.
- The back of the form adds the adopted person, if at least 18 years old.
- The adoption must have been finalized in Connecticut, or finalized in the foreign country and authenticated or validated by a Connecticut court.
What to send with it
- The request with the nine items the form lists, including the child's adoptive name, date and country of birth, the date the adoption was finalized, the probate court and the requester's signature.
- A copy of photographic identification of the person making the request, such as a driver's license or passport.
- $30.00 for each certificate by money order payable to "Treasurer, State of Connecticut". Personal checks are not accepted.
Where to send it
- Mail to
- State of Connecticut Department of Public Health P.O. Box 340308 MS #11-VRS Hartford, CT 06134-0308 Attn: Adoption Unit
- State fee
- $30.00 each
- Typical processing
- The office's website says State Vital Records Office processing varies and can be up to 12 weeks. The form does not state a time.
- Source
- Official government page