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South Dakota Fee Waiver Request for a Certified Copy of a Birth Record

Official state formOther requestsFree downloadLast verified November 10, 2026

Application for a free certified copy of a South Dakota birth record for Head Start, school enrollment (assistance) or American Legion baseball.

Who can use this form

  • The person on the record, current spouse, child, parent or guardian
  • Next of kin (grandparents and siblings only)
  • An authorized agent or a designated agent, such as a coach or Head Start organization
  • Choose one waiver type: baseball, school enrollment or Head Start

What to send with it

  • Completed and signed form
  • For mail requests: a clear copy of a government photo ID, or have the form notarized in Section 2
  • A completed Head Start application, for the Head Start waiver
  • The office's web page now lists 221 W Capitol Ave, Pierre SD 57501 as its address

Where to send it

Mail to
VITAL RECORDS 207 E MISSOURI AVE, STE #1A PIERRE SD 57501
State fee
No charge
Typical processing
Not provided
Back to South Dakota forms
South Dakota Fee Waiver Request for a Certified Copy of a Birth Record | South Dakota Form