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Alaska Request for a New Birth Certificate Following a Cultural Adoption (VS 901 (with VS 8901, VS 8902, VS 8903))

Official state formAdoptionForm VS 901 (with VS 8901, VS 8902, VS 8903)Free downloadLast verified November 10, 2026

Packet used to request a new birth certificate after an adoption recognized under tribal custom. It is signed by the adoptive parents and certified by the tribal authority, and goes to the state vital records office in Juneau.

Who can use this form

  • Adoptive parent(s) sign the request
  • A tribal authority certifies that the adoption was recognized under tribal custom
  • The tribal official must be the President, Vice President, Chairman or Tribal Administrator
  • Biological parent(s) sign the Parental Statement before a notary, unless the Tribal Statement says why they did not

What to send with it

  • Original completed packet in blue or black ink (keep a copy for your records)
  • Tribal Resolution (VS 8901), Tribal Statement (VS 8902) and Parental Statement (VS 8903), completed as the packet directs
  • $60.00 for adoption processing and a certified copy of the new birth certificate
  • Optional certified copy of the completed packet: extra $30.00, with a letter on tribal letterhead and a copy of the tribal official's ID

Where to send it

Mail to
Health Analytics and Vital Records P.O. Box 110675 Juneau, Alaska 99811-0675
State fee
$60.00 for adoption processing and a certified copy of the new birth certificate. Optional certified copy of the completed packet: extra $30.00.
Typical processing
16 weeks after receipt, not counting shipping; the new certificate can take up to 4 months (order page)
Form revision
Rev. July-2022
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Alaska Request for a New Birth Certificate Following a Cultural Adoption (VS 901 (with VS 8901, VS 8902, VS 8903)) | Alaska Form