Illinois Request for a Non-Certified Copy of an Original Birth Certificate
Official state formAdoptionFree downloadLast verified November 10, 2026
Request by an adult adopted or surrendered person, or a registered surviving relative, for a non-certified copy of the original birth certificate from before the adoption. It is mailed to the Illinois Division of Vital Records, IARMIE.
Who can use this form
- An adopted or surrendered person born in Illinois who is 21 or older.
- A child, grandchild or spouse of a deceased adopted or surrendered person, if registered with IARMIE as a surviving relative.
What to send with it
- The completed request.
- A copy of a non-expired government-issued photo ID.
- A $15 check or money order payable to IDPH.
- Notarization is needed only when you request the record of a deceased parent, grandparent or spouse.
Where to send it
- Mail to
- Illinois Department of Public Health Division of Vital Records - IARMIE 110 West Lawrence Ave. Springfield, Illinois 62704-2610
- State fee
- $15
- Typical processing
- Not provided
- Source
- Official government page