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New Jersey Delegation of Authority to Receive a Certified Copy of a Birth or Death Record (REG-2)

Official state formOther requestsForm REG-2Free downloadLast verified November 10, 2026

Notarized statement in which a person entitled to a New Jersey birth or death record names someone else to obtain certified copies on their behalf. It goes with the copy request made to the Office of Vital Statistics and Registry.

Who can use this form

  • Signed by the person entitled to the record, who states their relationship to the person on the record
  • The person named on the form obtains the certified copies and must show valid identification

What to send with it

  • The form signed and dated in the presence of a Notary Public
  • Valid identification of the person who will obtain the copies

Where to send it

Mail to
New Jersey Department of Health Office of Vital Statistics and Registry P.O. Box 370 Trenton, NJ 08625-0370
State fee
Not provided
Typical processing
Not provided
Form revision
DEC 16
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New Jersey Delegation of Authority to Receive a Certified Copy of a Birth or Death Record (REG-2) | New Jersey Form