Oregon Vital Records Office Verification of Live Birth
Official state formOther requestsFree downloadLast verified November 10, 2026
A witness at a county vital records office completes this form to confirm that a child under age 1, born at home without a medical attendant, was brought to the office in person. It is one kind of proof of live birth for home birth registration.
Who can use this form
- Parents of a child under age 1 who was born at home without a medical attendant
- A county vital records office witness completes and signs the form
- Parents should first ask the county office if it offers this service and if an appointment is required
What to send with it
- Bring the child to the county vital records office in person
- The county office sends the form and a legible photocopy of the mother's ID to the Center for Health Statistics by email, fax or mail
Where to send it
- Mail to
- Oregon Vital Records PO Box 14050 Portland OR 97293
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- 04/26
- Source
- Official government page