Vital Records Online
 
 
Illinois · Birth

Illinois Surrogate Parentage Certification: Gestational Surrogate's Spouse or Civil Union Partner (VR 810.1)

Official state formParentage and paternityForm VR 810.1Free downloadLast verified November 10, 2026

Certified statement signed by the gestational surrogate's spouse or civil union partner before the birth of a child carried by a gestational surrogate, so the intended parents are entered on the birth certificate. A photocopy is filed with the Illinois Department of Public Health.

Who can use this form

  • The spouse or civil union partner of the gestational surrogate.
  • Used when a child is carried by a gestational surrogate under the Gestational Surrogacy Act.

What to send with it

  • The statement, signed before two competent adult witnesses who are not parties to the arrangement.
  • It must be signed before the birth.
  • The original goes to the hospital of planned delivery. A photocopy is filed with the Illinois Department of Public Health.
  • It is one of six statements required under the Gestational Surrogacy Act.

Where to send it

Mail to
Illinois Department of Public Health 110 West Lawrence Ave. Springfield, Illinois 62704-2610
State fee
No charge to file surrogate parentage statements.
Typical processing
Not provided
Form revision
08/26
Back to Illinois forms
Illinois Surrogate Parentage Certification: Gestational Surrogate's Spouse or Civil Union Partner (VR 810.1) | Illinois Form