Tennessee Application for Certified Copy of a Report of Foreign Birth (PH-4453)
Official state formOther copy requestsForm PH-4453Free downloadLast verified November 10, 2026
Application for a certified copy of a report of foreign birth, for people adopted in a foreign country by Tennessee residents. Mailed to the Tennessee Office of Vital Records. The $15.00 search fee includes one copy if found.
Who can use this form
- For people adopted in a foreign country by Tennessee residents.
- The requester signs and states their relationship and the purpose of the copy.
- Unless the form is notarized, a valid government issued ID showing the requester's signature is required.
What to send with it
- The completed form, with the name on the report, date and place of birth, and the parents' names.
- $15.00 for each copy, by check or money order payable to Tennessee Vital Records. Do not send cash.
- A photocopy of a valid government issued ID showing your signature, unless the form is notarized.
- Your name and mailing address, printed on the form.
Where to send it
- Mail to
- Tennessee Vital Records Andrew Johnson Tower, 1st Floor 710 James Robertson Parkway Nashville, TN 37243
- State fee
- $15.00 search fee, as printed on the form. It includes one copy if the record is found and is not refunded if the record is not on file.
- Typical processing
- Not provided
- Source
- Official government page