Kentucky Report of Adoption (VS-102)
Official state formAdoptionForm VS-102Free downloadLast verified November 10, 2026
Report of an adoption decreed by a Kentucky Circuit Court. It gives the facts needed to establish a new birth certificate for the adopted person and is certified by the clerk of the Circuit Court. The form prints the State Registrar's mailing address in Frankfort.
Who can use this form
- Sections A through D cover the child, the adoptive or natural parents, and the mailing address and attorney information.
- The parents sign Section C. The attorney or agency representative signs Section D.
- Section E is completed by the Circuit Court Clerk only.
- Under the law printed on the form, each petitioner for adoption or the petitioner's attorney furnishes the information for the report.
What to send with it
- The form completed in its entirety. Whiteout and struck-through errors are not allowed; a new form must be completed if errors are recorded.
- The certification in Section E, signed and sealed by the Clerk of the Circuit Court, with the court order number.
- To get a certified copy of the new birth certificate: the required fee for each copy requested. The form says to call (502) 564-4212 to verify current fees.
Where to send it
- Mail to
- State Registrar Office of Vital Statistics 275 East Main Street, 1E-A Frankfort, KY 40621-0001
- State fee
- The form states no fee for the report. A certified copy of the new birth certificate requires the fee for each copy (the form does not print the amount).
- Typical processing
- Not provided
- Form revision
- Rev. 5.2021
- Source
- Official government page