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Sobriety Rules!

Sobriety Rules provides resources, advice, and guidance for recovery in Warren-Washington County, New York.

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  • Contact Us

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Sobriety Rules provides resources, advice, and guidance for recovery in Warren-Washington County, New York.

Benefits

EAP Adirondack Employee Assistance Program
Program Director Susan K. McManus, LCSW, smcmanus@adkeap.com
559 Glen Street Glens Falls, NY  12801
(518) 793-9768 -Phone / (518) 793-9772 _Fax
www.adkeap.com
*Helps employees and employers when mental health, substance use, physical health etcetera affect the ability to work

Social Security Administration
67 Warren St Ste 1, Glens Falls, NY 12801
(877) 405-4875 -Phone / 1-833-902-2542
SSA.gov, www.socialsercurity.gov
1-800-772-1213 -National Phone
*Phone or in-person appointments, walk-ins are now available
* Must attend alone or with one person who is helping
*Busiest time: First thing in the morning, early in the week, beginning of the month
*Masks required
Hours:  Monday, Tuesday, Thursday, Friday: 9am-4pm, Wednesday: 9am-Noon

Social Security Card:

  • Social Security office: 67 Warren St Suite 1, Glens Falls, NY 12801
  • Mail documents: Cannot be emailed or faxed
  • (877) 405-4875 Extension: 0 -Phone (LINE WILL GO SILENT… WAIT)
  • Mail either identification with application  Social Security Application
    • Health Insurance Card (Not a copy, they will mail it back to you)
    • Doctor note: Letterhead, Client name, Date of birth, Statement is patient within last 2 years, signature of office staff (Cannot be an electronic signature or a stamp)
    • Will not accept prison ID
  • If you are deaf or hard of hearing, call  1-800-325-0778, between 8:00 a.m. and 5:30 p.m. Monday through Friday.
  • Online:  https://www.ssa.gov, create an account and request a new card

Unemployment
ID.me is very difficult to use to upload documents.  There are no navigators specifically to help with unemployment.  Try the below agencies:

LEAP– (Formerly the EOC) Washington County:  (518)746-2391
*Mon-Fri 8am-4pm, by appointment only

Warren County Department of Labor/ One-Stop Career:
(518) 743-0925 -Phone

*Leave a voicemail, they can sometimes help, they  refer people to The Crandall Library (They can help by providing a computer only)

Washington County LEAP
Employment and Training Assistant Director Roberta Davis, roberta.davis@leapservices.org
383 Broadway Fort Edward, NY 12828
(518) 746-2391 Ext: 6 -Phone / (518) 746-2392 -Fax

SAIL Southern Adirondack Independent Living
71 Glenwood Avenue Queensbury, NY 12804
(518) 792-3537- Phone / (518) 792-0979- Fax
Elizabeth Cox, Independent Living Specialist, Ext.1135, ElizabethC@sailhelps.org
Raekiko Johnson, Independent Living Specialist, Ext.1103, RaekikoJ@sailhelps.org

Get a Care Coordinator to help:
AHI Adirondack Health Institute:
101 Ridge St., Glens Falls, NY 12801
1-866-708-2912 Courtnie Palmer/ (518)480-0111  – Phone / (518) 615-1220- Fax

Replacement COVID Vaccination Card:
From NY state:  If someone is missing their vaccination card and cannot go back to the facility they received it at (ie jails or mass pop up vaccination sites), they can email NYS through nysiis@health.ny.gov.  A full name and a date of birth will be able to generate an immunization record.  It will have the COVID vaccination on it.  They cannot get an actual replacement COVID card, however.

Replacement ID or Driver’s License:  fill out application and mail to the DMV in your county

  • https://transact3.dmv.ny.gov/photodocduplicate/index.cfm?t=9999388
  • You will need a social security card
  • Warren County DMV: (518) 761-6438, NEW COVID -19 HOURS:  Monday – Friday 8:15 – 3:30, except legal holidays, https://warrencountyny.gov › clerk › dmv
    Washington County DMV:  (518) 746-2163 Ext 3, NEW COVID -19 HOURS:  Monday – Friday 8:45am-4pm, except legal holidays,  https://dmv.ny.gov/office/fort-edward

Replacement Birth Certificate:  Call the town hall where you were born, can be down online, see below

ALABAMA

Website: https://www.alabamapublichealth.gov/vitalrecords/birth-certificates.html

Form: https://www.alabamapublichealth.gov/vitalrecords/assets/hs14eng.pdf

Make Payable To: STATE BOARD OF HEALTH

Mail to: Alabama Vital Records

               PO Box 5625

               Montgomery, Alabama 36103-5625

Fee: $15.00

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ALASKA

Website: http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx

Form: http://dhss.alaska.gov/dph/VitalStats/Documents/birth/birth_form.pdf

Make Payable To: ALASKA VITAL RECORDS OFFICE

Mail To: Alaska Health Analytics & Vital Records

                PO Box 110675

                Juneau, Alaska 99801

Fee: $30

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ARIZONA

Website: https://www.azdhs.gov/licensing/vital-records/index.php#birth-certificates-apply

Form: https://www.azdhs.gov/documents/licensing/vital-records/application-certificate-birth.pdf

Government Agency form: https://www.azdhs.gov/documents/licensing/vital-records/government-request-form-non-state.pdf

 

Make Payable to: Office of Vital Records

Mail To: Bureau of Vital Records

                PO Box 6018

                Phoenix, AZ 85005

Fee: $20

ARKANSAS

Website: https://www.healthy.arkansas.gov/programs-services/topics/order-birth-records

Form:https://www.healthy.arkansas.gov/images/uploads/pdf/Birth_Certificate_Application_Recommendations.pdf

Make Payable to: Arkansas Department of Health

Mail to: Arkansas Department of Health

                Vital Records, Slot 44

               4815 West Markham Street

               Little Rock, AR 72205

Fee: $12

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CALIFORNIA

Website: https://www.cdph.ca.gov/Programs/CHSI/Pages/Birth-Mail.aspx

Form: https://www.cdph.ca.gov/cdph%20document%20library/controlledforms/vs111.pdf

Make Payable to: CDPH- Vital Records

Mail to: California Department of Public Health

               Vital Records- MS 5103

                PO Box 997410

                Sacramento, CA 95899-7410

Fee:$25

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COLORADO

Website: https://cdphe.colorado.gov/birth-certificates

Form:

Make Payable to:

Mail to: Colorado Department of Public Health and Environment

                Vital Records Section

                4300 Cherry Creek Drive South

                 Denver, CO 80246

Fee: $

https://cdphe.colorado.gov/order-a-birth-certificate website to get to form, when form is clicked on I get blocked

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CONNECTICUT

Website: https://portal.ct.gov/DPH/Vital-Records/Birth-Certificates

Form: https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/hisr/VR/Birth-Certificate-Request-Form_-State-5-19.pdf (State form)

Make Payable to: Treasurer, State of CT

Mail to: CT Department of Public Health

                State Vital Records Office

                410 Capitol Avenue, 1st Floor

                Hartford, CT 06106

Fee: $30- State issued

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DELAWARE

Website: https://www.dhss.delaware.gov/dhss/dph/ss/vitalstats.html

Form: https://www.dhss.delaware.gov/dhss/dph/ss/files/birth.pdf

Make Payable to: Office of Vital Statistics

Mail To: Office Of Vital Statistics

                Jesse S Copper Bldg.

                417 Federal Street

                Dover, DE 19901

Fee: $25

———————————————————————————————————————————–

FLORIDA

Website: http://www.floridahealth.gov/certificates/certificates/birth/index.html

Form: http://www.floridahealth.gov/certificates/certificates/_documents/dh726-birth-app-7-2016.pdf

Affidavit to release birth certificate: http://www.floridahealth.gov/certificates/certificates/birth/_documents/DH1958-AffidavitToReleaseBC-enterable.pdf

Make Payable to: Vital Statistics

Mail To: Department of Health

                Office of Vital Statistics

                ATTN: Vital Records Section

                P O Box 210

                Jacksonville, FL 32231-0042

Fee: $9

————————————————————————————————————————————

GEORGIA

Website: https://dph.georgia.gov/ways-request-vital-record/birth

Form:file:///C:/Users/53a858/Downloads/Request%20For%20Search%20of%20Birth%20(Form%203918).pdf

Make Payable to: State Office of Vital Records

Mail To: State Office of Vital Records

               1680 Phoenix Blvd Suite 100

                Atlanta, GA 30349

Fee: $25

————————————————————————————————————————————

 

HAWAII

Website: https://health.hawaii.gov/vitalrecords/birth-marriage-certificates/

Form: https://health.hawaii.gov/vitalrecords/files/2018/02/birth-revised-2018.pdf

Make Payable to: Hawaii State Department of Health

Mail To: State Department of Health

                Office of Health Status Monitoring

                 Issuance/Vital Statistics Section

                PO Box 3378

                Honolulu, HI 96801

Fee: $10 / $12.50 with portal administrative fee

————————————————————————————————————————————

IDAHO

Website: https://healthandwelfare.idaho.gov/Health/VitalRecordsandHealthStatistics/Birth,Death,StillbirthMiscarriage,Marriage,DivorceCertificates/tabid/82/Default.aspx

Form: https://healthandwelfare.idaho.gov/Portals/0/Health/Vital%20Records/Certificate-Certificate-Request-form_English.pdf

Make Payable to: Idaho Vital Records

Mail to: Idaho Bureau of Vital Records and Health Statistics

               PO Box 83720

               Boise, ID 83720-0036

Fee: $16

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ILLINOIS

Website: https://dph.illinois.gov/topics-services/birth-death-other-records/birth-records/obtain-birth-certificate

Form: https://dph.illinois.gov/sites/default/files/forms/formsoppsapplication-illinois-birth-record-2018.pdf

Make Payable to: Illinois Department of Public Health

Mail To: Illinois Department of Public Health

                Division of Vital Records

                925 E Ridgely Ave-2737

                Springfield, Illinois 62702

Fee: $15

————————————————————————————————————————————

 

 

INDIANA

Website: https://www.in.gov/isdh/26791.htm

Form: file:///C:/Users/53a858/Downloads/49607%20fill-in.pdf

Make Payable to: Indiana State Department of Health

Mail To: Indiana State Department of Health

                Vital Records Division

                2 North Meridian Street

                Indianapolis, IN  46204

Fee: $10

————————————————————————————————————————————

IOWA

Website: https://idph.iowa.gov/health-statistics/request-record

Form: https://idph.iowa.gov/Portals/1/userfiles/68/Forms/app_certified_copies_generic-20200101.pdf

Make Payable to: Iowa Department of Public Health

Mail To: Iowa Department of Public Health

                Bureau of Health Statistics

                Lucas State Office Building, 1st Floor

                321 E 12th Street

                Des Moines, Iowa 50319-0075

Fee: $15

————————————————————————————————————————————

KANSAS

Website: https://www.kdheks.gov/vital/birth_howto_regular_mail.html

Form: https://www.kdheks.gov/vital/download/birth_fillable.pdf

Make Payable to: Kansas Vital Statistics

Mail To: Office of Vital Statistics

                Curtis State Office Building

                1000 SW Jackson, Suite 120

                Topeka, KS 66612-2221

Fee: $ 15

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KENTUCKY

Website: https://chfs.ky.gov/agencies/dph/dehp/vsb/Pages/birth-certificates.aspx

Form: https://chfs.ky.gov/agencies/dph/dehp/vsb/Forms/VS37BirthApp.pdf

Make Payable to: Kentucky State Treasurer

Mail To: Office of Vital Statistics

                275 East Main St, 1E-A

                Frankfort, KY  40621

Fee: $ 10

————————————————————————————————————————————

LOUISIANA

Website: https://ldh.la.gov/index.cfm/page/635

Form: https://ldh.la.gov/assets/oph/Center-RS/vitalrec/Birth_DeathOrderingPacket.pdf

Make Payable to: Louisiana Vital Records

Mail To: Vital Records Registry

                PO Box 60630

                New Orleans, LA 70160

Fee: $ 15

————————————————————————————————————————————————

MAINE

Website: https://www.maine.gov/dhhs/mecdc/public-health-systems/data-research/vital-records/order/index.shtml

Form: https://www.maine.gov/dhhs/mecdc/public-health-systems/data-research/vital-records/documents/pdf-files/vrform2.pdf

Make Payable to: Treasurer-State of Maine

Mail to: Vital Records

                11 State House Station

                220 Capitol Street

               Augusta, ME 04333-0011

Fee: $ 15

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MARYLAND

Website: https://health.maryland.gov/vsa/Pages/birth.aspx

Form: https://health.maryland.gov/vsa/Documents/Certificates/Birth/birth%20cert%20appl_20170627.pdf

Make Payable To: Division of Vital Records

Mail To: Division of Vital Records

                PO Box 68760

                Baltimore, MD 21215-0036

Fee: $ 10

————————————————————————————————————————————

MASSACHUSETTS

Website: https://www.mass.gov/how-to/order-a-birth-marriage-or-death-certificate

Form: https://www.mass.gov/files/2017-08/mail-order-form.pdf

Make Payable to:  Commonwealth of Massachusetts

Mail to: Registry of Vital Records and Statistics

                150 Mt Vernon St

                1st Floor

                Dorchester, MA 02125

Fee: $ 32

————————————————————————————————————————————

MICHIGAN

Website: https://www.michigan.gov/mdhhs/0,5885,7-339-71551_4645_4702—,00.html

Form: https://www.michigan.gov/documents/birthapp_6360_7.PDF

Make Payable to: State of Michigan

Mail to: Vital Records Requests

                PO Box 30721

                Lansing, MI 48909

Fee: $ 34

————————————————————————————————————————————

 

 

 

 

MINNESOTA

Website: https://www.health.state.mn.us/people/vitalrecords/birth.html

Form: https://www.health.state.mn.us/people/vitalrecords/docs/bcappia.pdf

Make Payable to: Minnesota Department of Health

Mail to: Minnesota Department of Health

               Office of Vital Records

               PO Box 64499

               St Paul, MN 55164-0499

Fee: $ 26

————————————————————————————————————————————

MISSISSIPPI

Website: https://msdh.ms.gov/msdhsite/_static/31,1240,109,62.html

Form: https://msdh.ms.gov/phs/forms/Form%20522E_201701.pdf

Make Payable to: Mississippi Vital Records

Mail To: Mississippi Vital Records

                PO Box 1700

                Jackson, MS 39215-1700

Fee: $ 17

————————————————————————————————————————————

MISSOURI

Website: https://health.mo.gov/data/vitalrecords/obtain-vital-record.php#obtain

Form: https://health.mo.gov/data/vitalrecords/pdf/birthdeath.pdf

Make Payable to: Missouri Department of Health and Senior Services

Mail to: Missouri Department of Health and Senior Services

               Bureau of Vital Records

               930 Wildwood Drive

               Jefferson City, MO 65109

Fee: $ 15

————————————————————————————————————————————

MONTANA

Website: https://dphhs.mt.gov/vitalrecords

Form: https://dphhs.mt.gov/Portals/85/Statistics/documents/VitalStats/BirthApplication.pdf

Make Payable to:  Montana Vital Records

Mail to: Office of Vital Records

                Department of Public Health and Human Services

                111 N Sanders Rm 6

                P O Box 4210

                Helena, MT  59604

Fee: $ 12

NEBRASKA

Website: http://dhhs.ne.gov/Pages/vital-records.aspx

Form: http://dhhs.ne.gov/Vital%20Records%20Documents/BirthCertificateApplication.pdf

Make Payable to: Vital Records

Mail To: Nebraska Vital Records

                PO Box 95065

                Lincoln, Nebraska  68509-5065

Fee: $ 17

————————————————————————————————————————————

NEVADA

Website: http://dpbh.nv.gov/Programs/BirthDeath/Birth_and_Death_Vital_Records_-_Home/

Form: http://dpbh.nv.gov/uploadedFiles/dpbh.nv.gov/content/Programs/BirthDeath/dta/Forms/Application%20-%20Birth%20Certificate%20Revised%201-11-20%20fillable.pdf

Make Payable to: Office of Vital Records

Mail To: Office of Vital Records

                4150 Technology Way, Suite 104

                Carson City, Nevada  89706

Fee: $ 25

————————————————————————————————————————————

NEW HAMPSHIRE

Website: https://sos.nh.gov/archives-vital-records-records-management/vital-records/request-for-certificates/

Form: https://sos.nh.gov/media/3ktptr0w/vr201.pdf

Make Payable to: Treasurer- State of New Hampshire

Mail To: NH Department of State

                Division of Vital Records Administration

                Registration/Certification

                9 Ratification Way

                Concord, NH  03301-2410

Fee: $ 15

————————————————————————————————————————————

 

 

 

NEW JERSEY

Website: https://www.state.nj.us/health/vital/order-vital/

Form: https://www.nj.gov/health/forms/reg-27a.pdf

Make Payable to: Treasurer, State of NJ

Mail to: New Jersey Department of Health

                Vital Statistics and Registry

                PO Box 370

                Trenton, NJ  08625-0370

Fee: $ 25

————————————————————————————————————————————

NEW MEXICO

Website: https://www.nmhealth.org/about/erd/bvrhs/vrp/

Form: https://www.nmhealth.org/publication/view/form/607/

Make Payable to: New Mexico Vital Records

Mail to: New Mexico Department of Health

               Bureau of Vital Records and Health Statistics

               PO Box 25767

               Albuquerque, NM  87125

Fee: $ 10

————————————————————————————————————————————

NEW YORK

Website: https://www.health.ny.gov/vital_records/birth.htm

Form: https://www.health.ny.gov/forms/doh-4380.pdf

Make Payable to: NYS Department of Health

Mail to: New York State Department of Health

               Vital Records Certification Unit

                PO Box 2602

                Albany, NY  12220-2602

Fee: $ 30

————————————————————————————————————————————

NEW YORK CITY

Website: https://www1.nyc.gov/site/doh/services/birth-certificates.page

Form: https://www1.nyc.gov/assets/doh/downloads/pdf/vr/birth1.pdf

Make Payable to: NYC Department of Health and Mental Hygiene

Mail to: Office of Vital Records

                125 Worth Street, CN-4, Room 133

                New York, NY  10013-4090

Fee: $ 15

————————————————————————————————————————————

NORTH CAROLINA

Website: https://vitalrecords.nc.gov/order.htm

Form: https://vitalrecords.nc.gov/documents/ApplicationStandardVRFillableBirth122818.pdf

Make Payable to: N.C Vital Records

Mail to: North Carolina Vital Records

               1903 Mail Service Center

               Raleigh, NC  27699-1900

Fee: $ 24

————————————————————————————————————————————

NORTH DAKOTA

Website: https://www.health.nd.gov/vital/certified-copies-birth-records

Form: https://www.health.nd.gov/sites/www/files/documents/Files/Vital/SFN%208140.pdf

Make Payable to: North Dakota Department of Health

Mail to: Division of Vital Records

               600 E Boulevard Ave Dept 301

               Bismarck, ND  58505

Fee: $15

————————————————————————————————————————————

OHIO

Website: https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/vital-statistics/how-to-order-certificates

Form: https://odh.ohio.gov/wps/wcm/connect/gov/a639af8b-d043-4f7d-8568-cd8889de2033/VS-ApplicationforCertifiedCopies2015.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-a639af8b-d043-4f7d-8568-cd8889de2033-nj1Q4Lt

Make Payable to: Treasurer, State of Ohio                            

Mail to: Ohio Department of Health

                Vital Statistics

                P.O Box 15098

               Columbus, Ohio  43215-0098

Fee: $ 21.50

————————————————————————————————————————————

 

 

OKLAHOMA

Website: https://oklahoma.gov/health/birth-and-death-certificates/birth-certificates.html#How_Mail

Form: https://oklahoma.gov/content/dam/ok/en/health/health2/documents/18008vr-vr-birth-application-eng-eform.pdf

Make Payable to: OSDH (Oklahoma State Department of Health)

Mail to: Vital Records Service

               Oklahoma State Department of Health

               PO Box 53551

              Oklahoma City, OK  73152

Fee: $15

————————————————————————————————————————————

OREGON

Website:https://www.oregon.gov/oha/PH/BIRTHDEATHCERTIFICATES/GETVITALRECORDS/Pages/forms.aspx

Form:https://www.oregon.gov/oha/PH/BIRTHDEATHCERTIFICATES/GETVITALRECORDS/Documents/birthor.pdf

Make Payable to: OHA/Vital Records

Mail To: Oregon Vital Records

                PO Box 14050

                Portland, OR  97293-0050

Fee: $25

————————————————————————————————————————————

PENNSYLVANIA

Website: https://www.health.pa.gov/topics/certificates/Pages/Birth-Certificates.aspx

Form:https://www.health.pa.gov/topics/Documents/Certificates%20and%20Records/Application_for_a_Birth_Certificate.pdf

Make Payable to: Vital Records

Mail to: Department of Health

               Division of Vital Records

               PO Box 1528

               New Castle, PA  16103

Fee: $20

————————————————————————————————————————————

 

 

RHODE ISLAND

Website: https://health.ri.gov/records/about/copies/

Form: Open Word Doc on the left of the website page listed above listed as Birth Certificate

Make Payable to: General Treasurer of RI

Mail To: RI Department of Health

                Office of Vital Records

                3 Capitol Hill, Rm 101

                Providence, RI  02908

Fee: $25

————————————————————————————————————————————

SOUTH CAROLINA

Website: https://scdhec.gov/vital-records/birth-certificates

Form: https://scdhec.gov/sites/default/files/Library/D-2595.pdf

Make Payable to: SC DHEC

Mail To:  DHEC Vital Records

                 2600 Bull St

                 Columbia, SC  29201

Fee: $12

————————————————————————————————————————————

SOUTH DAKOTA

Website: https://doh.sd.gov/records/OrderingVitalRecords.aspx

Form: https://doh.sd.gov/documents/Records/StateApplication.pdf

Make Payable to: Vital Records

Mail To: Vital Records

                 207 E Missouri Ave, Ste 1A

                Pierre, SD  57501

Fee: $15

————————————————————————————————————————————

 

 

 

 

 

TENNESSEE

Website: https://www.tn.gov/health/health-program-areas/vital-records/certificate.html

Form: https://www.tn.gov/content/dam/tn/health/documents/vital-records/PH-1654-Application-For-Certificate-of-Birth.pdf

Make Payable to: Tennessee Vital Records

Mail To: Tennessee Vital Records

                Andrew Johnson Tower, 1st Floor

                710 James Robertson Parkway

               Nashville, TN  37243

Fee: $15

————————————————————————————————————————————

TEXAS

Website: https://dshs.texas.gov/vs/birth/

Form: https://dshs.texas.gov/vs/doc/Texas-Birth-Certificate-Application.pdf

Make Payable to: DSHS- Vital Statistics

Mail To: Texas Vital Statistics

                Department of State Health Services

                P O Box 12040

                Austin, TX  78711-2040

Fee: $22

————————————————————————————————————————————

UTAH

Website: https://vitalrecords.health.utah.gov/certificates/order-a-vital-record-certificate

Form: https://vitalrecords.health.utah.gov/wp-content/uploads/104-Birth-Certif-ApplicationRcpt.pdf

Make Payable to: Vital Records

Mail To: Vital Records

                 PO Box 141012

                Salt Lake City, UT  84114-1012

Fee: $22

————————————————————————————————————————————

 

 

 

VERMONT

Website: https://www.healthvermont.gov/health-statistics-vital-records/vital-records-population-data/birth

Form: https://www.healthvermont.gov/sites/default/files/documents/pdf/HS_VR_App_Certified-Copy-Birth-Death-Form.pdf

Make Payable to: Vermont Department of Health

Mail To: Vermont Department of Health

                Vital Records Office

                P O Box 70

               Burlington, VT  05402

Fee: $10

————————————————————————————————————————————

VIRGINIA

Website: https://www.vdh.virginia.gov/vital-records/applications-for-a-vital-record/

Form: https://www.vdh.virginia.gov/content/uploads/sites/93/2020/03/VS6B_Birth-application_Fillable_PDF.pdf

Make Payable To: State Health Department

Mail To: Office of Vital Records

                P O Box 1000

                Richmond, VA  23218-1000

Fee: $12

————————————————————————————————————————————

WASHINGTON

Website: https://www.doh.wa.gov/LicensesPermitsandCertificates/VitalRecords/OrderCertificates

Form:                                 *Website states Mail order is not available at this time*

Make Payable to:

Mail To:

Fee:

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WEST VRIGINIA

Website: https://dhhr.wv.gov/Pages/default.aspx

Form: http://www.wvdhhr.org/bph/hsc/vital/forms/birthfm.pdf

Make Payable to: Vital Registration

Mail to: Vital Registration

                Room 165

                 350 Capitol Street

                Charleston, WV  25301-3701

Fee: $12

————————————————————————————————————————————

WISCONSIN

Website: https://www.dhs.wisconsin.gov/vitalrecords/record.htm

Form: https://www.dhs.wisconsin.gov/forms/f0/f05291.pdf

Make Payable To: State of Wisconsin Vital Records

Mail To: Wisconsin Vital Records Office

                 PO Box 309

                Madison, WI  53701

Fee: $20

————————————————————————————————————————————

WYOMING

Website: https://health.wyo.gov/admin/vitalstatistics/vital-record/birthcertificate/

Form: https://health.wyo.gov/wp-content/uploads/2019/10/WDH_VSS-Application-for-Certified-Copy-Form-1b-Birth.pdf

Make Payable to: Vital Statistics Services

Mail To: Vital Statistics Services

                2300 Capitol Avenue

                Hathaway Building

                Cheyenne, WY  82002

Fee:$20

————————————————————————————————————————————

 

 

 

 

AMERICAN TERRITORIES

Puerto Rico

Website: https://portal.ct.gov/Malloy-Archive/Puerto-Rico-New-Birth-Certificate-Law

Form: https://portal.ct.gov/-/media/Malloy-Archive/PRbirthcertE.pdf?sc_lang=en&hash=74482FF538D12700621974D8F73A6A11

Make Payable To: Secretary of the Treasury

Mail To: Demographic Registry

                P O Box 11854

                San Juan, Puerto Rico  00910

Fee: $5

——————————————————————————————————————————-

GUAM

Website: https://www.cdc.gov/nchs/w2w/guam.htm

Form:

Make Payable to: Treasurer of Guam

Mail To: Office of Vital Statistics

                123 Chalan Kareta

                Mangiao, Guam  96913

Fee: $5            *couldn’t find an actual website this is off the CDC website and no form*

——————————————————————————————————————————-

America Samoa

Website: https://www.cdc.gov/nchs/w2w/american_samoa.htm

Form:

Make Payable to: Office of Vital Statistics/ASG

Mail To: America Samoa Government

                Department of Homeland Security

                Office of Vital Statistics

                PO Box 6894

                Pago Pago, AS  96799

Fee: $5            *couldn’t find an actual website this is off the CDC website and no form*

——————————————————————————————————————————-

Northern Marianas

Website: http://www.chcc.gov.mp/forms.php

Form: http://www.chcc.gov.mp/DocumentFiles/HealthVitalStatistics_3_4294535968.pdf

Make Payable to: Commonwealth Healthcare Corporation

Mail To: Health and Vital Statistics Office

                P O Box 500409

                Saipan, MP  96950

Fee: $25 plus a $5 mailing fee

——————————————————————————————————————————-

Virgin Islands St. Croix District

Website: https://doh.vi.gov/programs/vital-records-statistics

Form: https://doh.vi.gov/sites/default/files/2018%20doh_birthapplication.pdf

Make Payable to: Virgin Islands Department of Health

Mail To: Virgin Islands Department of Health

                St Croix District

                Office of Vital Records and Statistics

                3500 Estate Richmond

                St Croix, VI  00820

Fee: $15

——————————————————————————————————————————-

Virgin Islands St Thomas/St John

Website: https://doh.vi.gov/programs/vital-records-statistics

Form: https://doh.vi.gov/sites/default/files/2018%20doh_birthapplication.pdf

Make Payable to: Virgin Islands Department of Health

Mail To: Virgin Islands Department of Health

                St Thomas/ St John District

                Office of Vital Records and Statistics

                1303 Hospital Ground, Suite 10

                St Thomas, VI  00802

Fee:$15

——————————————————————————————————————————-

https://www.cdc.gov/nchs/w2w/index.htm – CDC WEBSITE

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