New Jersey Application for an Uncertified Copy of an Adopted Person's Original Birth Record (REG-41)
Official state formAdoptionForm REG-41Free downloadLast verified November 10, 2026
Request for an uncertified copy of an adopted person's original New Jersey birth certificate. The copy may have birth parent information redacted. It is mailed to Vital Statistics and Registry at the New Jersey Department of Health in Trenton.
Who can use this form
- The adopted person, if 18 or older
- A direct descendant, sibling or spouse of the adopted person, if 18 or older
- An adoptive parent, legal guardian or other legal representative of the adopted person
- An agency of the State or federal government, for official purposes
What to send with it
- The completed REG-41
- Copies of your identification. The mailing address must match the address on the ID
- Documents that show your relationship to the adopted person, such as a birth certificate, marriage certificate, guardianship papers or an attorney retainer letter
- A check or money order payable to "Treasurer, State of New Jersey"
Where to send it
- Mail to
- New Jersey Department of Health Vital Statistics and Registry P.O. Box 370, Trenton, NJ 08625-0370
- State fee
- $25 for the first copy and $2 for each additional copy ordered at the same time.
- Typical processing
- Approximately 4 to 6 weeks from receipt of the request (form instructions).
- Form revision
- MAY 16
- Source
- Official government page