Official state forms
Arizona vital records forms
Applications issued by the Arizona vital records office, plus the forms of counties and cities that process requests locally. Every PDF is the current official version, checked against the source.
Last verified November 10, 2026
Statewide forms
| Form | Record | Actions |
|---|---|---|
Arizona Affidavit to Correct or Amend a Birth CertificateForm VS-41 · Notarized affidavit that lists the information as the Arizona birth record reads now and the correction or amendment wanted. It goes to the Bureau of Vital Records or to a county vital records office, depending on the record. | BirthCorrections and amendments | |
Arizona Acknowledgment of PaternityForm CS-127 · Voluntary acknowledgment of paternity for a child born out of wedlock in Arizona, used to add the father to the birth record. It is a Department of Economic Security form; the form says to mail it to the DCSS Hospital Paternity Program in Phoenix. | BirthParentage and paternity | |
Arizona Notice of Claim of PaternityRegisters a putative father in the Arizona Putative Father Registry (A.R.S. 8-106.01) so he receives notice of adoption proceedings concerning the child. The notarized form is filed with the Bureau of Vital Records in Phoenix. | BirthParentage and paternity | |
Arizona Adoption WorksheetCollects the adoptive parent information required by A.A.C. R9-19-208(M) that is not in the adoption order, so the Bureau of Vital Records can amend the Arizona birth certificate after an adoption. It is sent to the Bureau in Phoenix. | BirthAdoption | |
Arizona Application for Foreign Born RegistrationForm VS-13 · Application to register an Arizona foreign-born birth certificate for a foreign-born adopted person (A.R.S. 36-338) and to order certified copies. It is mailed to the Bureau of Vital Records in Phoenix. | BirthAdoption | |
Arizona Birth Parent Medical History FormLets a birth parent file family medical history that is disclosed only to the adoptee, along with the original birth certificate. It is mailed to the Bureau of Vital Records in Phoenix. | BirthAdoption | |
Arizona Contact Preference Form for Birth Parents of Adopted ChildrenLets a birth parent say whether they want contact with the adoptee (directly, through an intermediary, or not at this time) if the original birth certificate is released under A.R.S. 36-340(D). It is mailed to the Bureau of Vital Records in Phoenix. | BirthAdoption | |
Arizona Foreign-Born Adoption WorksheetCollects adoptive parent details required by A.A.C. R9-19-206(B) that are missing from the final adoption order, for a foreign-born registration. It is sent to the Bureau of Vital Records with the Application for Foreign Born Registration. | BirthAdoption | |
Arizona Request for Copy of Non-Certified Original Birth Certificate for Adult AdopteesForm VS-14 · Request by an adult adoptee for a non-certified copy of the original (pre-adoption) Arizona birth certificate under A.R.S. 36-340. It is sent to the State Bureau of Vital Records in Phoenix, by mail or in person by appointment. | BirthAdoption | |
Arizona Affidavit to Correct or Amend a Death CertificateForm VS-42 · Notarized affidavit that shows the information as the Arizona death or fetal death record reads now and the correction or amendment wanted. It goes to the Bureau of Vital Records or to a county vital records office, depending on the year of death. | DeathCorrections and amendments |
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