Arkansas Birth Certificate Application Instructions
This document provides essential details on how to request a birth certificate in Arkansas. It outlines the necessary fees, required forms of identification, and various methods of application. Following these guidelines will ensure a smooth application process.
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How do I fill this out?
Filling out the Arkansas birth certificate application is straightforward. Be sure to provide all requested information accurately to avoid delays. Follow the instructions carefully to ensure your application is processed efficiently.

How to fill out the Arkansas Birth Certificate Application Instructions?
1
Obtain the application form from the Arkansas Department of Health.
2
Complete the form with the necessary birth information.
3
Include a copy of your photo ID with the application.
4
Prepare your payment for the application fee.
5
Mail the completed application to the designated address.
Who needs the Arkansas Birth Certificate Application Instructions?
1
Parents applying for their child's birth certificate.
2
Individuals needing a birth certificate for identity verification.
3
Genealogists conducting family history research.
4
Adoptive parents requiring original birth details.
5
Anyone applying for government services that require a birth certificate.
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What are the instructions for submitting this form?
To submit your birth certificate application, mail the completed form along with a copy of your photo ID and payment to the Arkansas Department of Health at 4815 West Markham Street, Little Rock, AR 72205. Alternatively, you can apply online through the official Arkansas Department of Health website. For any questions regarding your application status, you can contact their office directly.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, there are no specific deadlines for applying for birth certificates since applications can be submitted year-round. However, ensure applications are submitted well in advance of any events that may require them, such as obtaining a passport or enrolling in school.

What is the purpose of this form?
The purpose of the Arkansas Birth Certificate Application is to formally request a copy of an individual's birth certificate. This vital record is essential for various legal and personal reasons, such as identity verification, eligibility for benefits, and enrollment in educational institutions. Providing accurate information on this application is crucial to ensure the correct processing of requests.

Tell me about this form and its components and fields line-by-line.

- 1. Full Name at Birth: Includes first, middle, and last name of the individual.
- 2. Date of Birth: The day, month, and year of birth.
- 3. Place of Birth: City or town, and county of birth.
- 4. Father's Name: Full name of the father as stated on the birth record.
- 5. Mother's Maiden Name: Mother's name before marriage.
- 6. Relationship to Applicant: Specifies the applicant's relationship to the individual whose certificate is requested.
- 7. Reason for Request: The purpose for which the birth certificate is being requested.
- 8. Signature and Contact Number: Signature of the requester along with their phone number.
What happens if I fail to submit this form?
If the form is not submitted correctly, the application may be delayed or denied. Incomplete information could lead to additional requests for documents or clarification. It is essential to ensure all fields are filled accurately to prevent reprocessing.
- Incomplete Information: Missing details can result in processing delays.
- Incorrect Payment: Wrong payment amounts can lead to application rejection.
- Invalid Identification: Failure to provide acceptable ID may halt the application process.
How do I know when to use this form?

- 1. Identity Verification: Needed for applying for jobs or government services.
- 2. Travel Documentation: Required when applying for passports.
- 3. School Enrollment: Used when enrolling in educational institutions.
Frequently Asked Questions
How do I apply for a birth certificate?
To apply for a birth certificate, complete the application form and submit it along with your ID and payment.
What payment methods are accepted?
Payments can be made via check or money order; credit card payments are accepted for online applications.
How long does it take to receive the certificate?
You should allow 4-6 weeks for delivery of your birth certificate.
Can I apply online?
Yes, you can apply for a birth certificate through the Arkansas Department of Health website.
What information do I need to provide?
Provide the full name, date, and place of birth, as well as the names of the parents.
What if my application is denied?
If your application is denied, you will be notified, and you may reapply with the correct information.
Is there a fee for the application?
Yes, the fee is $12.00 for the first copy and $10.00 for each additional copy.
How can I check the status of my application?
You can contact the Arkansas Department of Health for information regarding your application status.
Can I request multiple copies?
Yes, you can request multiple copies of the birth certificate in one application.
What should I do if the birth was before 1914?
Contact the Arkansas Department of Health directly for records prior to February 1, 1914.
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