Nebraska Request for Access to Birth Information (Relinquishment or Consent Given Prior to September 01, 1988) (HHS-53)
Official state formAdoptionForm HHS-53Free downloadLast verified November 10, 2026
For adult adoptees born in Nebraska whose relinquishment or consent was given before September 1, 1988. Asks for the original birth record and relatives' details, as filed consent forms allow. Mail to Nebraska Vital Records.
Who can use this form
- Adopted person 21 years of age or older born in Nebraska (Sec. 43-146.04)
What to send with it
- Completed request with the original and adoptive record details
- Photocopy of the applicant's photo ID
- $17.00
Where to send it
- Mail to
- Vital Records P.O. Box 95065 Lincoln, NE 68509-5065
- State fee
- $17.00
- Typical processing
- Not provided
- Form revision
- 5/2025
- Source
- Official government page