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Tennessee Birth Certificate Application (Form PH-1654) (PH-1654)

Official state formForm PH-1654Free downloadLast verified November 9, 2026

Form PH-1654 is the application for a certified copy of a Tennessee certificate of birth. It is filed with the Tennessee Department of Health, Office of Vital Records.

Who can use this form

  • The person named on the record
  • A spouse, parent, legal guardian or child of the person named
  • An authorized representative with a signed permission statement and ID of the person they represent

What to send with it

  • The completed and signed application
  • A photocopy of a valid government-issued ID showing your signature (not needed if the application is notarized)
  • $15 per copy by check or money order payable to Tennessee Vital Records (no cash)

Where to send it

Mail to
Tennessee Vital Records Andrew Johnson Tower, 1st Floor 710 James Robertson Parkway Nashville, TN 37243
State fee
$15 per copy
Typical processing
Not provided
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Tennessee Birth Certificate Application (Form PH-1654) (PH-1654) | Tennessee Form