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Utah Report of Adoption

Official state formAdoptionFree downloadLast verified November 10, 2026

Report used to create a new birth certificate after an adoption. The agency, attorney or parent completes Parts 1 and 2 and files it with the district court, not with the vital records office. The court clerk completes Part 3 and forwards it to the Utah Office of Vital Records and Statistics.

Who can use this form

  • A licensed agency, attorney or parent completes Parts 1 and 2
  • The clerk of court completes Part 3 when the final Decree of Adoption is ordered
  • The office registers new birth certificates only for children born in Utah, or born abroad with an adoption completed or registered in a Utah district court
  • For children born in other states, the office forwards the report to the state of birth

What to send with it

  • File the report, with Parts 1 and 2 completed, with the district court
  • The court clerk forwards the certified report to the office
  • The applicant sends the required fees, ID and application directly to the office, not through the court
  • Two new parent or single parent adoptions: the non-identifying health, genetic and social history forms
  • The office may require a certified copy of the Decree of Adoption or other court documents

Where to send it

Mail to
See the form for where to file it.
State fee
$65 per child, which includes one certified copy of the new birth certificate. Additional copies ordered at the same time are $10 each. The form says fees are subject to change.
Typical processing
Not provided
Form revision
Revised 2026
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Utah Report of Adoption | Utah Form