Wyoming Birth Certificate Application (Form 1a) (1a)
Official state formForm 1aFree downloadLast verified November 9, 2026
Form 1a is the Wyoming Department of Health request for a certified copy of a vital record, including birth certificates. It is filed with Vital Statistics Services in Cheyenne.
Who can use this form
- The person named on the record, if 18 or older
- Either parent named on the certificate
- A lawyer representing the registrant or the parents
- A legal guardian with certified guardianship papers
What to send with it
- The completed application, signed by someone 18 or older
- A photocopy of valid government-issued ID (or a notarized signature instead)
- $25 per copy by check or money order payable to Vital Statistics Services
- A self-addressed stamped envelope
Where to send it
- Mail to
- Vital Statistics Services 2300 Capitol Avenue Cheyenne, WY 82002
- State fee
- $25 per certified copy
- Typical processing
- Not provided
- Source
- Official government page