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

Replacement Identification

By Bethany

GET YOUR REPLACEMENT ID’S IN THIS ORDER:  1. Insurance card 2. Social Security Card  3. ID or Driver’s Licence

Social Security Card:

  • Social Security office: Closed, but will answer the phone, Mail documents: Cannot be emailed or faxed
  • 67 Warren St Suite 1, Glens Falls, NY 12801
  • (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.
  • https://www.ssa.gov, create an account and request a new card

 

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

 

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

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

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

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

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

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

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

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

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

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

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

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

 

 

 

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

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

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

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

 

 

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

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

 

 

 

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:

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

 

 

 

 

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

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

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