Pennsylvania Application for a Birth Certificate with Fees Waived After a Natural Disaster
Official state formOther copy requestsFree downloadLast verified November 10, 2026
Application for one Pennsylvania birth certificate at no charge for a resident of an area hit by a recent natural disaster. It can be used within 90 days of the signed Proclamation of Disaster Emergency. Mail it to the Division of Vital Records in New Castle.
Who can use this form
- The person named on the birth record, at least 18 years old or emancipated
- A parent, for a child currently in the parent's care
- Must attest to being unable to cover the $20 fee
What to send with it
- Completed and signed application
- Photocopy of a valid government-issued photo ID, which may note a temporary address, or two current documents that show your name and address
Where to send it
- Mail to
- Department of Health Division of Vital Records PO Box 1528 New Castle, PA 16103
- State fee
- Fee waived for one copy. The applicant attests to being unable to cover the $20 fee.
- Typical processing
- Same day to five days when ordered in person at a Vital Records branch office
- Form revision
- REV 09/21
- Source
- Official government page