California Affidavit of Youth in Foster Care Status for a Fee Exempt Birth Certificate
Official state formOther requestsFree downloadLast verified November 10, 2026
Affidavit used to request one certified copy of a birth record without a fee for a youth in foster care. The form says it is used with the local registrar or county recorder in the county of birth, and that a fee exempt copy cannot be obtained from the State Registrar.
Who can use this form
- A youth in foster care
- A person lawfully entitled to request the birth record for a youth in foster care
- A county welfare agency must also sign to verify the youth's foster care status
What to send with it
- The affidavit, signed by both the requestor and the county welfare agency
- The county's application for a certified copy of a birth record
- Anything else the birth record application requires
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- No fee. One fee exempt birth record per eligible person, per application. Available from the county office only.
- Typical processing
- Not provided
- Form revision
- Rev. 04/19
- Source
- Official government page