Rhode Island Affidavit of Birth Attendant Attestation (VR-36B)
Official state formDelayed registrationForm VR-36BFree downloadLast verified November 10, 2026
A sworn affidavit used to register a birth that happened outside a hospital. The person who attended the home birth signs it when that person is not a certified health provider, for example the father.
Who can use this form
- The person who attended and delivered the home birth
- Used when the home birth was attended by a non-certified health provider, such as the father
What to send with it
- The affidavit signed by the person who attended the birth
- The affiant's signature must be sworn before a notary public
Where to send it
- Mail to
- Center for Vital Records 6 Harrington Road Cranston, RI 02920
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- Rev.06-22
- Source
- Not provided