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Nebraska Request for Access to Birth Information (Relinquishment or Consent Given On or After September 01, 1988) (HHS-54)

Official state formAdoptionForm HHS-54Free downloadLast verified November 10, 2026

For adult adoptees born in Nebraska whose relinquishment or consent was given on or after September 1, 1988. Asks for the original birth certificate, sibling details and medical history. Mail to Nebraska Vital Records.

Who can use this form

  • Adopted person 21 years of age or older born in Nebraska (Sec. 43-146.04)

What to send with it

  • Completed request with the original and adoptive record details
  • Photocopy of the applicant's photo ID
  • $17.00

Where to send it

Mail to
Vital Records P.O. Box 95065 Lincoln, NE 68509-5065
State fee
$17.00
Typical processing
Not provided
Form revision
5/2025
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Nebraska Request for Access to Birth Information (Relinquishment or Consent Given On or After September 01, 1988) (HHS-54) | Nebraska Form