Wisconsin Veteran's and Veteran's Dependent's Request for Certified Copy of a Wisconsin Vital Record (F-05283)
Official state formOther copy requestsForm F-05283Free downloadLast verified November 10, 2026
Lets a qualifying veteran or dependent ask for a free certified copy of a birth, death, marriage, divorce or domestic partnership record needed for a state or federal benefits claim. It goes through the County Veteran Service Office to the State Vital Records Office.
Who can use this form
- Veterans and their dependents as defined in Wis. Stat. §§ 45.01(12), 45.51(2)(a)2 and 45.04(5)
- The record must be needed to apply for state or federal benefits
- The form must be completed and returned through the County Veteran Service Office (CVSO) where the benefits application was made
What to send with it
- The complete application, signed by the CVSO, with the section filled in for the record requested: birth, death, marriage, divorce or domestic partnership
- A self-addressed, stamped, business-size envelope
Where to send it
- Mail to
- State Vital Records Office P.O. Box 309 Madison, WI 53701-0309
- State fee
- No fee (Wis. Stat. § 59.535(1)(b))
- Typical processing
- Not provided
- Form revision
- Rev. 10/2017
- Source
- Official government page