West Virginia Birth Certificate Application
Official state formFree downloadLast verified November 9, 2026
This is the application for a certified copy of a West Virginia birth certificate. It is mailed to Vital Registration at the West Virginia Department of Health and Human Resources, Health Statistics Center.
Who can use this form
- The person named on the certificate, if 18 or older or an emancipated minor
- A parent or grandparent, adult child or grandchild, adult sibling or spouse
- A legal guardian or legal representative, with proof
What to send with it
- The completed and signed application
- A photocopy of one primary ID or two secondary IDs
- Proof of relationship, if required
- $12 per copy by check or money order payable to Vital Registration (no cash)
Where to send it
- Mail to
- Vital Registration Room 165 350 Capitol Street Charleston, WV 25301-3701
- State fee
- $12 per copy
- Typical processing
- Not provided
- Source
- Official government page