Florida Minor Adoptee Original Birth Record Release Packet
Official state formAdoptionFree downloadLast verified November 10, 2026
Packet to ask for release of the sealed original birth record of an adoptee under 18, under section 63.162(4), Florida Statutes. It has a DH 726 application and notarized consent affidavits for the adoptive parents, the adoptee and the birth parents. It goes to the state vital statistics office.
Who can use this form
- An adoptee under the age of 18, with the consent of the adoptive parent or parents
- Both adoptive parents must consent if the child was adopted by two parents.
- The birth parent or parents consent by affidavit; both must consent if both are named on the original birth certificate.
What to send with it
- DH 726 application from the packet
- The notarized affidavits that apply
- Photocopy of a driver's license, state ID card, passport or military ID
Where to send it
- Mail to
- DEPARTMENT OF HEALTH OFFICE OF VITAL STATISTICS ATTN: VITAL RECORDS SECTION P.O. BOX 210 Jacksonville, FL 32231-0042
- State fee
- $14 for a photocopy certification of the sealed birth record, according to the office's amendments page. The DH 726 application in the packet is an older edition (04/2016) and prints $9.00 plus $5.00, which adds up to the same $14.
- Typical processing
- Not provided
- Form revision
- 04/2016 (DH 726 application in the packet); the affidavits are undated
- Source
- Official government page