Arkansas Affidavit of Home Birth (VR-18)
Official state formOther requestsForm VR-18Free downloadLast verified November 10, 2026
Notarized affidavit required for each home birth recorded without a licensed physician, nurse practitioner or licensed midwife attending. It is attached to the Certificate of Live Birth (VR-1). The packet says only the State Office of Vital Records can process and file the birth.
Who can use this form
- A person with actual knowledge of the facts of the birth signs it: someone who was present at the birth or learned of it immediately after.
- The certifier who signs the Certificate of Live Birth cannot sign the affidavit. A different parent, or someone who knew of the birth, can sign.
- The affidavit is signed before a notary.
- The packet's document list is for an unattended home birth filed before the child's first birthday.
What to send with it
- The signed, notarized Affidavit of Home Birth, attached to a completed Certificate of Live Birth (VR-1).
- A State or Federal photo ID for the birth mother.
- Evidence of pregnancy, such as a prenatal medical record from a physician or prenatal records from a Local Health Unit.
- Evidence of the mother's presence in Arkansas before and after the birth, such as rent receipts or utility bills with her name and address.
- If the mother is not an Arkansas resident, clear and convincing evidence must be presented to the State Registrar.
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- R 7/10
- Source
- Official government page