Ohio Heirloom Birth Certificate Order Form (HEA 2740)
Official state formCommemorative certificatesForm HEA 2740Free downloadLast verified November 10, 2026
Brochure with the order form for a certified Ohio heirloom birth certificate in one of four designs. The form says the certificate has a raised seal and can be used for official business. It is mailed to the Ohio Department of Health, Vital Statistics.
Who can use this form
- The form does not say who may order.
- The applicant gives their name, complete mailing address and phone number, and signs the order form.
What to send with it
- The order form with all information completed: full name on the record, place and date of birth, mother's full name and maiden name, and father's full name.
- The design chosen: Native Ohioan, Newborn Footprints, Commemorative or Statehouse Lawn.
- A check or money order payable to Treasurer, State of Ohio.
Where to send it
- Mail to
- Ohio Department of Health, Vital Statistics P.O Box 15098 Columbus, OH 43215-0098
- State fee
- $25 for each heirloom birth certificate.
- Typical processing
- Allow 4 weeks for delivery. The form says requests for newborn birth certificates may take up to three months because of registration requirements.
- Form revision
- Rev. 10/16
- Source
- Official government page