Colorado Report of Missing, Stolen or Lost in the Mail Certificate
Official state formOther requestsFree downloadLast verified November 10, 2026
Reports a Colorado birth, death, marriage or divorce certificate that was misplaced, stolen or lost in the mail. It is returned to the Fraud Prevention unit of the Colorado Department of Public Health and Environment by mail or fax.
Who can use this form
- The person completing the report gives their own name, address and phone number and signs it.
- Only for vital events that occurred in Colorado.
What to send with it
- The completed, signed report, with the type of certificate and the name, date and place on it.
- A brief written statement about what happened to the certificate.
Where to send it
- Mail to
- Department of Public Health and Environment Attn: Fraud Prevention 4300 Cherry Creek Drive South Denver, CO 80246-1530 Fax: 866-687-6383
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- Rev. 8/2019
- Source
- Official government page