Utah Order Establishing Facts of Birth and Delayed Registration of Birth (Adult)
Official state formDelayed registrationFree downloadLast verified November 10, 2026
Court order template that a district court judge signs. It sets out the facts of a birth and orders the Office of Vital Records and Statistics to register a delayed certificate of birth. It is filed with the District Court of Utah, not with the vital records office.
Who can use this form
- The petitioner, or the petitioner's attorney, fills in the heading
- The order states that the state registrar denied the petitioner's request to register a delayed certificate of birth
- A judge decides whether to grant the petition and signs the order
What to send with it
- The order is part of a case filed in a Utah district court
- After the judge signs, a certified copy of the order goes to the Office of Vital Records and Statistics
- The office's foreign adoption page says to include an application, fees and ID with the certified order
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- The form does not print a fee. The office's fee page lists a $40.00 delayed birth processing fee, in addition to the birth certificate fee. The court filing fee is not stated.
- Typical processing
- Not provided
- Source
- Official government page