Vital Records Online
 
 
Pennsylvania · Birth

Pennsylvania Adoptee's Application for a Noncertified Copy of an Original Birth Record (HD02045F)

Official state formAdoptionForm HD02045FFree downloadLast verified November 10, 2026

Lets an adopted person, or a descendant of a deceased adopted person, ask the Pennsylvania Department of Health for a noncertified copy of the original birth record from before the adoption. Mail it to the Division of Vital Records in New Castle.

Who can use this form

  • An adopted person who is over 18 years of age
  • A lineal descendant of a deceased adopted person, who must enclose the adopted person's death certificate

What to send with it

  • Completed and signed application
  • Check or money order for $20 payable to "Vital Records"
  • Photocopy of a valid government-issued photo ID, or two documents that show your name and address
  • Applicants age 18 to 21: photocopy of a high school diploma, GED or proof of legal withdrawal from secondary school

Where to send it

Mail to
Department of Health Division of Vital Records Attn: Adoptee Applications PO Box 1528 New Castle, PA 16103-1528
State fee
$20 per application. One copy is released per application. The fee still applies if a Statement of No Record Found is issued.
Typical processing
Approximately 45 days
Back to Pennsylvania forms
Pennsylvania Adoptee's Application for a Noncertified Copy of an Original Birth Record (HD02045F) | Pennsylvania Form