Alabama Application to Request a Birth Certificate After Surrogate Birth (ADPH-HS-103)
Official state formParentage and paternityForm ADPH-HS-103Free downloadLast verified November 10, 2026
Request for the new Alabama birth certificate prepared after a surrogate birth, once the office has the final court order that determines the child's legal parentage. It is mailed to the Center for Health Statistics in Montgomery.
Who can use this form
- The child's legal parent or parents, or another person with a legal right to the record.
- By signing, the applicant certifies a legal right to the record.
- The surrogate birth must have occurred in Alabama.
What to send with it
- The completed, signed application.
- Valid identification. The ID requirements are printed on the back of the form.
- The $25 fee. A check or money order payable to "Center for Health Statistics". Do not send cash.
- The office must receive the original, final court order of parentage. The new certificate cannot be created before that order arrives.
- The application, ID and fee may be sent while the final court order is still in process.
Where to send it
- Mail to
- Center for Health Statistics Attn: Parentage Clerk P.O. Box 5625 Montgomery, Alabama 36103-5625
- State fee
- $25 to prepare the new birth certificate, including one certified copy. Additional copies of the same record ordered at the same time are $6 each. Expediting costs $15 more. Fees are non-refundable.
- Typical processing
- Not provided
- Form revision
- Rev. 10/2024
- Source
- Official government page