Rhode Island Affidavit of Personal Knowledge for a Home Birth (VR-37B)
Official state formDelayed registrationForm VR-37BFree downloadLast verified November 10, 2026
A sworn affidavit used to register a birth that happened outside a hospital. Two are required when there was no prenatal care provider for the home birth.
Who can use this form
- Two people who know the mother and the home birth each sign one affidavit
- Only one of the two can be a friend
- The other must be a member of the community, such as a pharmacist, minister or social worker
What to send with it
- Two affidavits, each signed by a different person
- Each signature must be sworn before a notary public
Where to send it
- Mail to
- Center for Vital Records Simpson Hall 6 Harrington Road Cranston, RI 02920
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- Rev.06-22
- Source
- Not provided