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Iowa Adult Adoptee Request for Noncertified Copy of Original Birth Certificate

Official state formAdoptionFree downloadLast verified November 10, 2026

Request by an adult adoptee born in Iowa for a noncertified copy of the original birth certificate from before the adoption. It is accepted only by mail or in person at the Bureau of Health Statistics.

Who can use this form

  • An adult adoptee, 18 or older, who was born in Iowa
  • If the adoptee is deceased: the adoptee's spouse
  • If the adoptee is deceased: an adult relative within the second degree of consanguinity (children, parents, grandchildren, siblings, grandparents)

What to send with it

  • The form, signed in front of a notary public
  • The $15.00 fee for each noncertified copy
  • A clear photocopy of your current government-issued photo ID
  • Entitled persons: a certified copy of the adoptee's death record

Where to send it

Mail to
Bureau of Health Statistics / IDPH Lucas State Office Building, 1st Floor 321 E. 12th Street Des Moines, Iowa 50319-0075
State fee
$15.00 for each noncertified copy
Typical processing
6 to 8 weeks, according to the office page
Form revision
Updated 01/01/2022
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Iowa Adult Adoptee Request for Noncertified Copy of Original Birth Certificate | Iowa Form