Illinois Birth Parent Request for a Non-Certified Copy of an Original Birth Certificate (IOCI 15-441)
Official state formAdoptionForm IOCI 15-441Free downloadLast verified November 10, 2026
Request by a birth mother or birth father for a non-certified copy of their birth child's original birth record as it was filed at birth. It is sent to the Illinois Division of Vital Records, IARMIE.
Who can use this form
- The birth mother or birth father of an adult adopted person born in Illinois.
- The request covers the birth child's original birth record as filed at birth.
What to send with it
- The completed request.
- A copy of a non-expired government-issued photo ID.
- A $15 check or money order payable to IDPH.
- The form prints the office's former address. The inventory notes the office moved in September 2026 to 110 W Lawrence Ave, Springfield, IL 62704-2610.
Where to send it
- Mail to
- Illinois Department of Public Health Division of Vital Records - IARMIE 925 E. Ridgely Ave. Springfield, IL 62702-2737
- State fee
- $15
- Typical processing
- Not provided
- Source
- Official government page