Pennsylvania Authorization to Mail a Birth Certificate to a Temporary Address After a Natural Disaster (HD002148)
Official state formOther requestsForm HD002148Free downloadLast verified November 10, 2026
Lets the Pennsylvania Division of Vital Records mail a birth certificate to a temporary address where the applicant is staying because of a disaster. It is sent together with the Application for a Birth Certificate.
Who can use this form
- A birth certificate applicant staying at a temporary address because of a recent disaster
- Only during the 90 days right after a disaster declaration by the federal, a state or a local government
What to send with it
- Signed form that names the disaster location and the government body that issued the declaration
- Completed Application for a Birth Certificate, with payment and identification
- The temporary residence listed in Part 1 of the Application for a Birth Certificate
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- REV 07/19
- Source
- Official government page