Bureau of Vital Records Forms Available from DHSS Warehouse

Updated on 10/2/2014

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14 forms in this list.
Catalog Number Name Quantity Per Unit Program Restrictions
VS-100 CERTIFICATE OF LIVE BIRTH CASE Bureau of Vital Records PROGRAM USE ONLY
VS-151BD APPLICATION FOR A VITAL RECORD CASE Bureau of Vital Records PROGRAM USE ONLY
VS-153F FACILITY WORKSHEET CASE Bureau of Vital Records PROGRAM USE ONLY
VS-153M BIRTH CERTIFICATE MOTHER'S WORKSHEET CASE Bureau of Vital Records PROGRAM USE ONLY
VS-300 CERTIFICATION OF DEATH CASE Bureau of Vital Records PROGRAM USE ONLY
VS-375 REPORT OF FETAL DEATH CASE Bureau of Vital Records PROGRAM USE ONLY
VS-400 DECREE OF ADOPTION CASE Bureau of Vital Records PROGRAM USE ONLY
VS-421 SEARCH OF PUTATIVE FATHER REGISTRY CASE Bureau of Vital Records PROGRAM USE ONLY
VS-460 AFFIDAVIT FOR CORRECTION OF A BIRTH OR DEATH RECORD CASE Bureau of Vital Records PROGRAM USE ONLY
VS-465 AFFIDAVIT ACKNOWLEDGING PATERNITY CASE Bureau of Vital Records PROGRAM USE ONLY
VS-700 APPLICATION - REPORT MARRIAGE CASE Bureau of Vital Records PROGRAM USE ONLY
VS-802 CERTIFIED STATEMENT RELATED TO DIVORCE CASE Bureau of Vital Records PROGRAM USE ONLY
VS-804-B STATE REGISTRAR CERTIFICATION CASE Bureau of Vital Records PROGRAM USE ONLY
VS-804-D CERTIFICATION PAPER CASE Bureau of Vital Records PROGRAM USE ONLY