Vermont Application for Delayed Certificate of Birth
Official state formDelayed registrationFree downloadLast verified November 10, 2026
Use this form to request a delayed birth certificate for a Vermont birth that was not filed in the first year. It is notarized and mailed to the Vital Records office in Waterbury.
Who can use this form
- A person born in Vermont, for themselves.
- A parent of the child.
- An attorney may be named on the form.
What to send with it
- The notarized application.
- The notarized Statement of Information.
- Supporting original or certified documents: 3 if age 10 or older, 2 if under 10, per the instructions.
Where to send it
- Mail to
- Vermont Department of Health Vital Records 280 State Drive Waterbury, VT 05671-8370
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- March 2026
- Source
- Official government page