Arkansas Report of Adoption (935)
Official state formAdoptionForm 935Free downloadLast verified November 10, 2026
Report used by the Arkansas Department of Health to locate the original birth certificate and prepare a new one after an adoption. The court clerk certifies it, and it is mailed to the Amendment Section of the Division of Vital Records in Little Rock.
Who can use this form
- The form asks for the child's birth details and the adoptive parents' information, with the names and addresses of the attorney and the adoptive parent(s).
- The court clerk signs the certification, which carries the court seal, the case number and the date of the final decree.
- The form asks whether the new certificate should be sent to the parent(s), the attorney, the County Clerk or another person.
What to send with it
- The certified Arkansas Report of Adoption, or another state's equivalent.
- A certified copy of the final decree of adoption.
- The appropriate payment. The form and the office's adoption page do not print an amount.
Where to send it
- Mail to
- Division of Vital Records Amendment Section 4815 West Markham St. Slot 44 Little Rock, AR 72205-3867
- State fee
- Not provided
- Typical processing
- Not provided
- Source
- Official government page