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Official state forms

North Dakota vital records forms

Applications issued by the North Dakota 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 10, 2026

Statewide forms

FormRecordActions
North Dakota Birth Record Amendment ApplicationForm SFN 60183 · Application to amend a North Dakota birth record, such as names, date of birth, sex or parents' information. It must be signed before a notary. It is also the form used after a court-ordered name change. Sent to Vital Records.
BirthCorrections and amendments
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North Dakota Acknowledgment of Paternity Copy RequestForm SFN 61645 · Confidential request for a certified copy of an Acknowledgment of Paternity already filed with North Dakota Vital Records. It is a copy request only. Sent by mail to Vital Records.
BirthParentage and paternity
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North Dakota Assisted Reproduction ConsentForm SFN 62275 · Consent signed by the birth mother and another parent of a child conceived by assisted reproduction, so the other parent can be added to the birth record. The original is filed with Vital Records.
BirthParentage and paternity
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North Dakota Report of AdoptionForm SFN 6739 · Report used to create a new birth record after an adoption. Adoptive parents, their attorney or the agency complete items 1 to 5. The Clerk of District Court completes items 6 to 8 and certifies it. The signed original is mailed to Vital Records.
BirthAdoption
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North Dakota Fetal Death Record Copy RequestForm SFN 61643 · Request for a certified copy of a North Dakota fetal death record. A Birth Resulting in Stillbirth copy is available on request. Sent by mail to Vital Records.
BirthStillbirth and pregnancy loss
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North Dakota Authorization to Receive a Certified CopyForm SFN 58698 · Notarized one-time authorization that lets another person request a birth, death or fetal death record for the person authorizing. It goes with the signed request form to Vital Records.
BirthOther requests
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North Dakota Vital Records Application Forms | Free Official PDFs