Minnesota Request for Original Birth Record of an Adopted Person
Official state formAdoptionFree downloadLast verified November 12, 2026
Request for an informational copy of the original Minnesota birth record from before an adoption. Only certain requesters may use it. Mail it, signed before a notary, to the Minnesota Department of Health, Office of Vital Records.
Who can use this form
- A parent whose name appears on the original birth record.
- A person with a certified U.S. court order, not a subpoena, that allows release of the record.
- An authorized representative of a federally recognized American Indian tribe who needs the record to decide on tribal enrollment or membership.
- Not available through county vital records offices.
What to send with it
- The completed form, signed in front of a notary public.
- A certified copy of the U.S. court order, if you rely on one.
- Payment, not cash.
Where to send it
- Mail to
- Minnesota Department of Health Office of Vital Records Mail: 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)
- State fee
- $13 for a noncertified copy of the original birth record and $6 for each additional copy. Faster processing is $20 and express delivery is $21. As printed on the form.
- Typical processing
- Not provided
- Form revision
- 01/2024
- Source
- Official government page