Minnesota Request for Original Birth Record Information (Statute 144.2252)

Who can use this form

• The adopted person, 18 or older.
• An attorney representing the adopted person or their estate.
• If the adopted person has died: the spouse, child or grandchild, 18 or older.
• Foreign-born adoptees may use it to request evidence of their adoption filed with the State Registrar.

What to send with it

• The completed form, signed in front of a notary public.
• If the adopted person has died, the date and place of death.
• The attorney's license number, or a copy of the license for a non-Minnesota attorney.
• Payment, not cash.

Where to send it

Mail to

Minnesota Department of Health Office of Vital Records Mail: PO Box 64499, St. Paul, MN 55164-0499 Courier/express delivery: 625 Robert St. N, St. Paul, MN 55155 (no vital-records counter service at this location) Fax: 866-416-1357 (credit card payments only)

State fee

$40 for a noncertified copy of the original birth record and related documents for people born in Minnesota. $9 for evidence of adoption only for a foreign-born adoptee. Express delivery is $21. Non-refundable. As printed on the form.

Typical processing

Not provided

Form revision

08/2024

Source

Official government page