Wyoming Report of Lost or Stolen Birth Certificate
Official state formOther requestsFree downloadLast verified November 10, 2026
Reports a lost or stolen Wyoming birth certificate so the record is flagged against identity theft. For births in Wyoming only. It cannot be used to request a birth certificate.
Who can use this form
- A person reporting a missing Wyoming birth certificate
- Only for births that occurred in Wyoming
What to send with it
- Completed form with name, date of birth, county of birth and mother's maiden name
- The approximate date the certificate was lost or stolen
- A short statement of what happened, signed and dated
- The form says the information may be shared with law enforcement
Where to send it
- Mail to
- Vital Records Services 2300 Capitol Avenue Hathaway Building Cheyenne, WY 82002
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- WDH-VRS-Report-Lost-or-Stolen-Certificate-2026
- Source
- Official government page