Florida Commemorative Birth Certificate Application (DH 726C)
Official state formCommemorative certificatesForm DH 726CFree downloadLast verified November 10, 2026
Application to order a commemorative birth certificate signed by the Governor and the State Registrar, plus one computer certification. The commemorative certificate is not accepted for official purposes. It goes to the Bureau of Vital Statistics Commemorative Unit.
Who can use this form
- The person named on the record, if 18 or older, or a parent listed on the birth record
- A legal guardian, a legal representative, or a person with a court order
- Spouse, child, grandchild or sibling (18 or older) of a deceased registrant
- Other people with a notarized DH 1958 affidavit
- Sealed records (adoption, paternity, court order) cannot be ordered this way.
What to send with it
- Completed application
- Copy of valid photo ID (front and back)
- Proof of eligibility, if required
- Check or money order payable to Vital Statistics
Where to send it
- Mail to
- FLORIDA DEPARTMENT OF HEALTH BUREAU OF VITAL STATISTICS ATTN: COMMEMORATIVE UNIT P.O. BOX 210 JACKSONVILLE, FL 32231-0042
- State fee
- $34.00 for the commemorative certificate, including one computer certification (the $9 search fee is non-refundable); $25 for each additional commemorative certificate; $4.00 for each additional computer certification; $2.00 for each additional year searched (maximum $50); $1.00 shipping and handling.
- Typical processing
- The computer certification takes 3 to 5 business days. The commemorative certificate follows in 4 to 6 weeks. No same-day service.
- Form revision
- 01/2022
- Source
- Official government page