South Dakota Affidavit of Homeless Status for Certified Copy of Birth Certificate
Official state formOther requestsFree downloadLast verified November 10, 2026
Notarized affidavit to get one free certified copy of a South Dakota birth certificate for a person experiencing homelessness. It can be filed at any county Register of Deeds or the state office.
Who can use this form
- The person experiencing homelessness signs Section I
- A homeless services provider who knows the person's housing status signs Section II
- The person's spouse, child, parent, guardian, next of kin or authorized representative may apply for the copy
What to send with it
- Affidavit signed and notarized by both the person and the provider
- The completed South Dakota Vital Records Request application
- The identification the application requires
- Free copy is limited to one per lifetime
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- Fee exempt. Limited to one copy per lifetime.
- Typical processing
- Not provided
- Form revision
- Issued 06/2024; Revised 06/2025
- Source
- Official government page