District of Columbia Application for Out of Institution Birth Registration
Official state formDelayed registrationFree downloadLast verified November 10, 2026
Use this application to register a birth that took place outside a hospital or institution. Page 2 lists the documents required. It goes to the DC Health Vital Records Division.
Who can use this form
- The applicant, with documentation from the midwife or provider
- Page 2 of the form is mostly written for midwives
What to send with it
- Completed application
- Copy of the midwife's license
- Completed Birth and Facility Worksheet
- Evidence that the child was born alive
- Evidence that the mother was in DC on the date of birth
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- $23 registration fee + $23 per certificate copy (printed on the form)
- Typical processing
- Not provided
- Form revision
- Revised 12/07/2023
- Source
- Official government page