Nevada Application for a Certified Birth Certificate for a Homeless Person
Official state formOther copy requestsFree downloadLast verified November 10, 2026
Lets a homeless person ask the Nevada Office of Vital Records for a certified birth certificate at no charge. The applicant declares under penalty of perjury that they are homeless and need a certified copy.
Who can use this form
- An applicant who declares under penalty of perjury that they are homeless and need a certified copy
- The person named on the birth certificate, or a parent listed on it
- Other applicants must show a direct relationship by blood or marriage, a legal relationship, or a need for a legal process
What to send with it
- Completed and signed application
- Photo identification or other sufficient verification of identity
- Proof of relationship, such as a birth certificate or court order, unless the applicant is the person of record or a listed parent
Where to send it
- Mail to
- Office of Vital Records 4150 Technology Way, Suite 104 Carson City, NV 89706
- State fee
- No charge. The form asks the office to provide a certified certificate at no charge.
- Typical processing
- Not provided
- Source
- Official government page