Arkansas Birth Parent Family History Information Form (Form B) (VR-502)
Official state formAdoptionForm VR-502Free downloadLast verified November 10, 2026
A birth parent of an adopted person uses this form to give or update social, cultural and medical family history for release with the adoption file. It is filed with the State Registrar at Arkansas Department of Health Vital Records in Little Rock.
Who can use this form
- A birth parent of an adopted person completes the form.
- The office holds adoption files only for persons born in Arkansas.
- The instructions say this form must be submitted for Form A or Form C to be accepted, unless the history was already compiled and needs no change.
What to send with it
- The signed and notarized form.
- A copy of the birth parent's identification, as listed in the Birth Parent Information Instructions. Send copies, not originals.
Where to send it
- Mail to
- Arkansas Department of Health Vital Records Department State Registrar 4815 West Markham Street, Slot 44 Little Rock, AR 72205
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- May 2018
- Source
- Official government page