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Tennessee Certificate of Adoption (PH-1248)

Official state formAdoptionForm PH-1248Free downloadLast verified November 10, 2026

Form used to report an adoption of a Tennessee birth or a report of foreign birth, so a new birth certificate can be prepared. It is mailed to Tennessee Vital Records with a certified copy of the adoption order.

Who can use this form

  • Adoptive parents review and sign Part I.
  • The attorney, clerk of court, or child placing agency completes Part II.
  • Used for adoptions of Tennessee births and for reports of foreign birth.

What to send with it

  • The completed Certificate of Adoption.
  • A certified copy of the adoption order.
  • The $30.00 fee, by check or money order payable to Tennessee Vital Records.
  • The mailing name and address for the new birth certificate (Part III).

Where to send it

Mail to
Tennessee Vital Records Andrew Johnson Tower, 1st Floor 710 James Robertson Parkway Nashville, TN 37243
State fee
$30.00, as printed on the form. Additional copies are $15.00 each.
Typical processing
Not provided
Form revision
Rev. 10/24
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Tennessee Certificate of Adoption (PH-1248) | Tennessee Form