Minnesota Homeless Youth Birth Certificate Request
Official state formOther copy requestsFree downloadLast verified November 12, 2026
Packet to request a no-cost certified copy of your own Minnesota birth certificate if you are homeless, 24 or younger and born in Minnesota. It includes the application and two proof-of-identity forms.
Who can use this form
- You must be homeless as defined in Minnesota Statutes, section 256K.45, 24 years old or younger, and born in Minnesota.
- You request your own birth record.
- Not for people who are incarcerated or otherwise detained under federal or state law.
What to send with it
- The completed application with your signature.
- One proof of identity: an unexpired ID, an Affidavit of Homeless Status filled out by a homeless youth service provider with a copy of their employee ID, or a Statement to Identify.
- The address where you get mail (a shelter, friend, agency or school contact, or a PO box is acceptable) for mailed or faxed requests.
Where to send it
- Mail to
- Minnesota Department of Health Office of Vital Records PO Box 64499 St. Paul, MN 55164-0499 Courier/express delivery: 625 Robert St. N, St. Paul, MN 55155 (no vital-records counter service at this location) Fax: 866-416-1357 (credit card payments only). May also be handed in at a county vital records office.
- State fee
- No cost. The packet describes a no-cost birth certificate and prints no fee table.
- Typical processing
- Not provided
- Form revision
- 01/2024
- Source
- Official government page