Vermont Adoptee's Application for Copy of Original Birth Certificate
Official state formAdoptionFree downloadLast verified November 10, 2026
Adoptees and their descendants use this form to request a certified copy of the original Vermont birth certificate from before the adoption. It is notarized and mailed to the Vital Records office in Waterbury.
Who can use this form
- An adopted person who is 18 or older.
- A direct descendant, 18 or older, of a deceased adoptee.
- A parent or guardian of a minor direct descendant of a deceased adoptee.
What to send with it
- The application, signed in front of a notary.
- A $10 check or money order payable to the Vermont Department of Health.
- A copy of the adoptee's current birth certificate, and the death certificate if the adoptee is deceased.
Where to send it
- Mail to
- Vermont Department of Health Vital Records 280 State Drive Waterbury, VT 05671-8370
- State fee
- $10.00
- Typical processing
- Not provided
- Form revision
- March 2026
- Source
- Official government page