Pennsylvania Application for a Birth Certificate with Fees Waived for Foster and Juvenile Justice-Involved Individuals
Official state formOther copy requestsFree downloadLast verified November 10, 2026
Application for one Pennsylvania birth certificate at no charge for a young person involved in the foster care or juvenile justice system, supported by an advocate. Apply in person at a Vital Records branch office or mail it to the Division of Vital Records in New Castle.
Who can use this form
- The person named on the birth record, age 16 to 24, involved in the foster care or juvenile justice system
- An advocate must also sign: a facility director, school principal or counselor, social worker, juvenile justice case manager or attorney
What to send with it
- Completed application signed by the applicant and the advocate
- The applicant's photo ID, valid or expired, if the applicant has one
- The advocate's valid government-issued photo ID
- A letter on the organization's official stationery that confirms its mailing address, the advocate's affiliation and the advocate's connection to the applicant
Where to send it
- Mail to
- Department of Health Division of Vital Records PO Box 1528 New Castle, PA 16103
- State fee
- Fee waived for one copy. The applicant attests to being unable to pay the $20 fee.
- Typical processing
- Same day to five days when ordered in person at a Vital Records branch office
- Form revision
- REV 10/22
- Source
- Official government page