Request for Copy of Birth Certificate (VS-11)
Official state formForm VS-11Free downloadLast verified November 5, 2026
The Arizona Department of Health Services Bureau of Vital Records application to order a certified copy of an Arizona birth certificate by mail.
Who can use this form
- The person named on the certificate, or their parent, brother or sister, grandparent, spouse or legal guardian
- A government agency, with a copy of the agency ID badge instead of a notary
- A person at least 16 years old with no residential address, or in Department of Child Safety custody, may order their own
- Proof of relationship must be included with every request
What to send with it
- This request form, with your original signature
- A clear photocopy of the front and back of your valid, signed government photo ID, or have your signature notarized on the form
- Proof of your relationship (for example, birth certificates, certified court documents or a marriage certificate)
- The fee by check, money order or credit card details on the form (no cash), and a self-addressed stamped envelope
Where to send it
- Mail to
- Bureau of Vital Records PO Box 6018 Phoenix, AZ 85005
- State fee
- $20 per certified copy
- Typical processing
- Not provided
- Source
- Official government page