Official state forms
Pennsylvania vital records forms
Applications issued by the Pennsylvania 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 |
|---|---|---|
Pennsylvania Birth Certificate Application (Form H105.102)Form H105.102 · Form H105.102 is the application to order a certified copy of a Pennsylvania birth certificate. It is filed with the Pennsylvania Department of Health, Division of Vital Records. | Birth | |
Pennsylvania Death Certificate Application (Form HD02080F)Form HD02080F · Form HD02080F is used to request a certified copy of a Pennsylvania death certificate. It is mailed to the Pennsylvania Department of Health, Division of Vital Records. | Death |
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