New Jersey Birth Parent Family History Information Form (REG-36B)
Official state formAdoptionForm REG-36BFree downloadLast verified November 10, 2026
Lets a birth parent of an adopted person file medical, cultural and social family history with the State Registrar. It must be filed for a Contact Preference form (REG-36A) to be accepted. It is sent to Vital Statistics and Registry in Trenton.
Who can use this form
- A birth parent of an adopted person
- Required from a birth parent who files a Contact Preference form (REG-36A)
What to send with it
- The completed Family History Information form (REG-36B)
- The Contact Preference form (REG-36A), if you are filing one
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