New Jersey Birth Parent Contact Preference Form (REG-36A)
Official state formAdoptionForm REG-36AFree downloadLast verified November 10, 2026
Lets a birth parent of an adopted person tell the State Registrar whether they want direct contact, contact through an intermediary or no contact with the adopted person. The preference can be changed at any time. It is sent to Vital Statistics and Registry in Trenton.
Who can use this form
- A birth parent of an adopted person
- The birth parent may send a revised form at any time to change the preference
What to send with it
- The completed Contact Preference form (REG-36A)
- A completed Family History Information form (REG-36B). The Contact Preference form is not accepted for filing without it
Where to send it
- Mail to
- New Jersey Department of Health Vital Statistics and Registry PO Box 370 Trenton, NJ 08625-0370
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- AUG 15
- Source
- Official government page