California Heirloom Birth Certificate Application (CDPH 9133)
Official state formCommemorative certificatesForm CDPH 9133Free downloadLast verified November 10, 2026
Mail application for a decorative heirloom birth certificate. The form states that the heirloom certificate is not a valid document to establish identity. It is mailed to the state vital records office in Sacramento.
Who can use this form
- The form does not limit who may apply
- The applicant gives a name, mailing address and reason for the request
What to send with it
- Completed CDPH 9133, one application per heirloom record
- $44 by check or money order in US dollars payable to CDPH-Vital Records. No cash
Where to send it
- Mail to
- California Department of Public Health Vital Records - MS 5103 P.O. Box 997410 Sacramento, CA 95899-7410
- State fee
- The form (4/2021) prints $44 per copy. This fee is not listed on the office's current fees page, so it could not be confirmed against current fees.
- Typical processing
- Not provided
- Form revision
- 4/2021
- Source
- Official government page