Connecticut Birth Certificate Application
Official state formFree downloadLast verified November 9, 2026
Request form for ordering a certified copy of a Connecticut birth record from the state. It is mailed to the Connecticut Department of Public Health, Vital Records Section.
Who can use this form
- The person named on the record, if 18 or older
- A parent, legal guardian or legal custodian
- A grandparent, spouse, adult child or adult grandchild
- A legal representative with proof of legal interest or power of attorney
What to send with it
- The completed and signed request form
- A copy of your valid government-issued photo ID or passport, or two accepted secondary IDs
- Proof of your relationship to the person on the record (if applicable)
- A money order payable to Treasurer, State of CT (no cash or personal checks)
Where to send it
- Mail to
- Connecticut Department of Public Health Vital Records Section, Customer Service 410 Capitol Avenue, MS #11VRS P.O. Box 340308 Hartford, CT 06134-0308
- State fee
- $30 per certified copy
- Typical processing
- Up to 12 weeks
- Source
- Official government page