Oregon Notarized Permission to Order or Pick Up a Vital Record
Official state formOther requestsFree downloadLast verified November 10, 2026
A person who is eligible for an Oregon birth, death, marriage or divorce certificate uses this notarized form to let someone who is not eligible order it or pick it up. The permission can be used once, within a year of signing. It goes to Oregon Vital Records with the order.
Who can use this form
- A person who is eligible for the record signs it before a notary
- It gives permission to a person who is not eligible for the record
- The permission can be used once, within a year of being signed
What to send with it
- The notarized form, with the notary signature and seal on the form itself
- The person who was given permission submits it with the order
- Documentation may be required to prove eligibility
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- 03/26
- Source
- Official government page