Nevada Homebirth Certificate of Birth Packet
Official state formOther requestsFree downloadLast verified November 10, 2026
Packet to file a birth record with the Nevada Office of Vital Records for a child born outside a hospital. It includes guidance, applications, affidavits and worksheets. It is filed in person or by regular mail.
Who can use this form
- In this order: the physician in attendance at or immediately after the birth
- Any other person in attendance at or immediately after the birth
- The father or mother or, if the father is absent and the mother is incapacitated, the person in charge of the premises where the birth occurred
- Midwives should enter the information in the Electronic Birth Registry System (EBRS) when they can
What to send with it
- Verification from the State or Local Registrar that no registered Nevada birth record exists (application enclosed)
- Application for Home Birth or Delayed Certificate of Birth, completed by the parent or parents
- For each parent: a current photo ID and a notarized affidavit to establish facts of birth. For a listed father: also a marriage certificate, a Declaration of Paternity or a certified court order
- Proof of pregnancy: prenatal health care records, a Witness Affidavit from a health care provider, or an ultrasound
- Proof of live birth: a Witness Affidavit from a provider who saw the child within 14 days of birth, or an in-person appointment with the parent and child
- Proof the birth occurred in Nevada (a utility bill or a card transaction statement), plus the Mother's Worksheet and the Facility Worksheet
Where to send it
- Mail to
- Division of Public and Behavioral Health Office of Vital Records and Statistics 4150 Technology Way, Suite 104 Carson City, Nevada 89706
- State fee
- $10.00 per verification or search, plus $25.00 for each certified copy of the birth certificate. Total printed in the packet: $35.00.
- Typical processing
- Not provided
- Source
- Official government page