Official state forms
New York vital records forms
Applications issued by the New York vital records office, plus the forms of counties and cities that process requests locally. Every PDF is the current official version, checked against the source.
Last verified November 9, 2026
Statewide forms
| Form | Record | Actions |
|---|---|---|
New York Birth Certificate Application (Form DOH-4380)Form DOH-4380 · Form DOH-4380 is used to request a certified copy of a New York birth certificate for births outside New York City. It is mailed to the New York State Department of Health, Bureau of Vital Records. | Birth | |
New York Death Certificate ApplicationThis is the application for a certified copy of a New York State death certificate. It is filed with the New York State Department of Health, Bureau of Vital Records, for deaths outside New York City. | Death | |
New York Divorce Certificate ApplicationMail-in application for a certified copy of a New York divorce certificate (a record of the divorce, not the decree). It is filed with the New York State Department of Health, Vital Records Certification Unit. | Divorce |
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