Virginia Application for Vital Record Certification
This PDF file contains the application for certification of a vital record in the Commonwealth of Virginia. It provides all necessary instructions and requirements needed to complete the application successfully. Use this file to request vital records like birth and death certificates, marriage licenses, or divorce decrees.
Edit, Download, and Sign the Virginia Application for Vital Record Certification
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out this application, start by gathering all necessary identification documents. Next, provide the required personal information and specify your relationship to the certificate holder. Finally, review your application to ensure all information is accurate before submission.

How to fill out the Virginia Application for Vital Record Certification?
1
Gather acceptable identification documents.
2
Fill in your personal details accurately.
3
Specify your relationship to the person on the certificate.
4
Select the type of record you wish to request.
5
Review the application for completeness before submission.
Who needs the Virginia Application for Vital Record Certification?
1
Individuals seeking their own birth certificate.
2
Parents requesting a birth certificate for their child.
3
People applying for a marriage license requiring a birth certificate.
4
Legal guardians needing custody documents.
5
Researchers or genealogists looking for historical records.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Virginia Application for Vital Record Certification along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your Virginia Application for Vital Record Certification online.
Editing this PDF on PrintFriendly is simple and efficient. Users can click on the fields they want to change and enter their updated information directly. Once the changes are made, users can easily download their edited PDF.

Add your legally-binding signature.
You can sign this PDF on PrintFriendly by using the signature tool available in the editor. Just select the area where you need to sign and use your mouse or touchpad to draw your signature. Save the document after signing to retain the changes.

Share your form instantly.
Sharing your PDF on PrintFriendly is straightforward. Once you've edited and saved your file, you can use the share option to send it via email or social media. This feature enhances convenience for users who need to distribute their documents quickly.
How do I edit the Virginia Application for Vital Record Certification online?
Editing this PDF on PrintFriendly is simple and efficient. Users can click on the fields they want to change and enter their updated information directly. Once the changes are made, users can easily download their edited PDF.
1
Open the PDF file in PrintFriendly editor.
2
Click on the sections you wish to edit.
3
Make your desired changes directly in the document.
4
Once satisfied, click the download button.
5
Save the edited PDF to your device.

What are the instructions for submitting this form?
Submit the completed application by mailing it to the Division of Vital Records at P.O. Box 1000, Richmond, VA 23218-1000. Make sure to include a check or money order for the required fee of $12.00 made out to the State Health Department. For any urgent needs, please consider contacting their office at (804) 662-6200 for additional guidance.
What are the important dates for this form in 2024 and 2025?
Applicants should be aware that the processing of vital records may vary by time of year, especially near holiday seasons. It’s advisable to submit your application well in advance of personal deadlines. Keep track of any change in fees or submission procedures through the Division of Vital Records.

What is the purpose of this form?
The purpose of this form is to provide a standardized application for individuals requesting certified copies of vital records in Virginia. This includes essential documents such as birth certificates, death certificates, marriage licenses, and divorce decrees. The form ensures that all necessary information is collected accurately, facilitating a smooth processing of requests.

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

- 1. NAME OF REQUESTER: The full name of the person requesting the record.
- 2. DAYTIME PHONE NUMBER: Contact number for further inquiries.
- 3. ADDRESS: Current residential address of the requester.
- 4. CITY: City of residence.
- 5. STATE: State of residence.
- 6. ZIP CODE: Postal code for the address.
- 7. RELATIONSHIP TO PERSON ON CERTIFICATE: Your relationship to the individual whose record is requested.
- 8. REASON FOR REQUEST: The reason you are requesting the vital record.
- 9. SIGNATURE OF REQUESTER: The requester's signature verifying the information provided.
- 10. DATE OF BIRTH: Birthday of the individual whose record is being requested.
- 11. PLACE OF BIRTH: City or county in Virginia where the birth occurred.
- 12. DEATH CERTIFICATE INFORMATION: Fields related to requesting death records.
- 13. MARRIAGE AND DIVORCE INFORMATION: Fields related to requesting marriage or divorce records.
What happens if I fail to submit this form?
If the form is not submitted correctly, the request for the vital record may be delayed or denied. It is crucial to ensure that all required documents and information are included. Insufficient information could result in further communication needed to resolve the issues.
- Incomplete Information: Missing fields or profiles will cause a delay in processing.
- Incorrect Identification: Failure to provide valid ID may lead to application rejection.
- Unpaid Fees: Submitting without proper payment will result in denied requests.
How do I know when to use this form?

- 1. Birth Record Request: For individuals or parents needing a birth certificate.
- 2. Death Record Request: For family members needing a death certificate for estate purposes.
- 3. Marriage License Application: For obtaining a marriage license, which may require birth information.
- 4. Divorce Decree Request: For individuals needing copies of divorce records for legal reasons.
- 5. Genealogy Research: For historians or family members researching family history.
Frequently Asked Questions
How do I fill out this application?
Gather all required information and follow the instructions provided to fill out the form accurately.
What documents do I need to submit?
You need to provide an acceptable form of identification and any additional documents relevant to your request.
Can I edit this PDF online?
Yes, you can edit the PDF directly using PrintFriendly's online editor.
How can I download my edited PDF?
After making your edits, simply click the download button to save your changes.
Is there a fee associated with this application?
Yes, the fee for certification of a vital record is $12.00, payable to the State Health Department.
How long does it take to receive my certificate?
Processing times may vary, but applications are typically processed within a few weeks.
What if my application is denied?
If your application is denied, you will receive a notification detailing the reasons for the denial.
Where do I send my completed application?
Mail your completed application to the Division of Vital Records, P.O. Box 1000, Richmond, VA 23218-1000.
Can I track the status of my application?
Yes, you can contact the Division of Vital Records for updates on your application status.
What happens if I make a mistake on my application?
If you make a mistake, it's best to submit a new application to ensure the accuracy of your information.
Related Documents - Vital Record Application VA

Andhra Pradesh State Road Transport Corporation Student Bus Pass Application
The Andhra Pradesh State Road Transport Corporation (APSRTC) Student Bus Pass Application form is for students up to SSC who need to apply for a bus pass for the academic year 2024-2025. This form includes personal details, school details, route details, and requires a bonafide certificate. Completing this form allows students to travel on APSRTC buses between their residence and school at a concessional fare.

NYC Section 8 Request to Move Form
The NYC Section 8 Request to Move Form is for participants in good standing to move with continued assistance. Participants must meet specific criteria and obtain necessary approvals. The form includes options for non-emergency and emergency moves.

Cheyenne Transit ADA Paratransit Eligibility Application
This file includes the application and instructions for Cheyenne Transit's ADA Paratransit service. It details the eligibility criteria and provides guidelines on how to complete the form. The document must be filled out in full and submitted to determine eligibility for Paratransit service.

Council-Manager Government Roles and Responsibilities Guide
This file provides detailed information about the roles and responsibilities of key officials in a council-manager government structure, including the mayor, city manager, and elected officials. It also explains how residents can participate in the government decision-making process.

Passenger and School Bus Driver Application
This file provides detailed instructions and forms required for obtaining a Commercial Driver License (CDL) with a passenger or passenger/school bus endorsement in New Jersey. It includes fingerprinting information, medical examiner certificate requirements, and a declaration form. Applicants must complete the form, print, and sign it before visiting an Agency or the New Jersey Motor Vehicle Commission.

Facility Clearance (FCL) Orientation Handbook - March 2021
This handbook provides a comprehensive orientation to the Facility Clearance (FCL) process. It outlines responsibilities, deadlines, and guidance. It includes detailed process information and required forms.

Service Member's Individual Transition Plan Checklist
This file is a checklist intended for service members to document and certify the achievement of career readiness standards as they transition out of the military. It includes sections for personal and family needs assessment, evaluation of military service benefits and acquired skills, career readiness standards, and contact information for supporting agencies. The checklist must be completed and verified by the service member, transition counselor, and unit commander prior to separation.

Bangladesh Judicial Service Commission Form Instructions
This document provides detailed instructions for filling out and submitting the Bangladesh Judicial Service Commission form, including essential deadlines and required fields.

NORKA, RØD S - Government of Kerala Undertaking File
This document is issued by the Government of Kerala and pertains to various government-related undertakings. It provides important instructions and details necessary for various procedures. Users should follow the guidelines carefully to ensure compliance.

GOVERNMENT OF PUNJAB DEPARTMENT OF PERSONNEL MANUAL 2019
This document is a manual by the Government of Punjab's Department of Personnel, outlining various personnel policies and instructions issued in the year 2019. It includes amendments, performance indicators, appointment procedures, and relevant rules for civil services and recruitment. The manual serves as a comprehensive guide for personnel management and related administrative processes.

Oklahoma DOT Roadway Design CADD Standards Manual
The Oklahoma DOT Roadway Design CADD Standards Manual effective April 1, 2015 details the best practices for all related engineering work. Following these standards ensures readability, uniformity, and proficiency in design plans. This manual is essential for designers working with or for the Oklahoma Department of Transportation.

Affordable Connectivity Program Application Form FCC Form 5645
FCC Form 5645 is an application form for the Affordable Connectivity Program (ACP) that provides monthly internet service discounts and a one-time device benefit for qualifying low-income consumers. The form includes sections for personal information, identity verification, and household details. Instructions for submission and required documentation are also provided.