The Colorado Denver Application Birth Certificate form is a document used to request a certified copy of a birth certificate from the Denver County Vital Records office. This office maintains birth records for the entire state of Colorado since 1907. Individuals seeking a birth certificate must demonstrate a direct and tangible interest in the record requested.
Obtaining a birth certificate in Denver, Colorado, is a straightforward process, but it requires careful attention to detail. The Denver Application for a Certified Copy of Birth Certificate is essential for anyone needing a copy of their birth record or that of a family member. This form is available through Denver Health's Vital Records office, which has maintained birth records for the entire state since 1907. When filling out the application, it's important to provide accurate information about the individual whose birth certificate is being requested, including their full name at birth, date of birth, and place of birth. If the person is deceased, the applicant must include the date of death and the state where the death occurred, along with a copy of the death certificate. Additionally, the form requires information about the parents, such as their names and any relevant maiden names. The applicant must demonstrate a direct and tangible interest in the record and understand the legal implications of obtaining records under false pretenses. To ensure the application is processed efficiently, a copy of the requestor's identification is required. There are multiple ways to submit the application, including in-person requests for same-day service, online orders, fax submissions, and mail. Each method has its own processing times and associated fees, so it’s wise to review all options before proceeding. With the right information and documentation, getting a birth certificate can be a smooth experience.
DENVER HEALTH
Denver Vital Records
605 Bannock St. Room 302 Denver, Colorado 80204-4507
303- 602-3660
www.denverhealth.org/vitalrecords
Application for Certified Copy of Birth Certificate
Denver County Vital Records has birth records for the entire state since 1907.
Information about person whose birth certificate is requested — please type or print. IF ADOPTED , provide adoptive information.
First
Middle
Last (s)
Full name at birth
Date of birth
Month
Day
Year
Yes □
No □
Is this person deceased?
If yes, date: ____/____/____
State where death occurred: ____________________
Please provide copy of death certificate
Place of birth
City
C o u n t y
Full name of father
Maiden (s)
Maiden name of mother:
Certificate needed for
Pursuant to Colorado Revised Statutes, 1982, 25-2-118 and as defined by Colorado Board of Health Rules and Regulations, applicant must have a direct and tangible interest in the record requested. The penalties for obtaining a record under false pretenses include a fine of not more than $1 ,000.00, or imprisonment in the county jail for not more than one year or both such fine and imprisonment (CRS 25-2-118)
By signing below, I have read and understood that there are penalties for obtaining a record under false pretenses.
Effective 7/1/2003, all requests must be accompanied by a copy of the requestor's identification before processing. Please return your request with a copy of your driver's license, state ID or passport. See reverse side for additional accepted documents.
Signature of person making request
Relationship to registrant*
Driver's License #
State of License
Expiration Da te
Address
State
Zip
Daytime Phone
(
)
Apply in person for same day service. Office hours are from 8: 0 0 a.m. to 4.00 p.m., Monday-Friday.
Order certificates online* at www.VitalChek.com. Certificates mailed within 2 to 5 days business days via regular mail, UPS 1 to 2 business days.
Fax your application with credit card information**: fax 303-602-3665
Mail in application with check, money order, or credit card information **. Certificate (s) mailed within 3 to 4 weeks via regular mail. * * Convenience charge to be added. See charges below.
Credit card orders:
Card Type:
VISA
MasterCard
Discover
Cardholder name:___________________________________________________________
Total copies ordered
Card Number:
______________________________________ Exp Date ________
c
S t a
Make check or money order payable to Vital Records Section. Please do not send cash.
PLEASE COMPLETE THIS AREA
PRINT name and address of person making request:
Name
City/State/Zip
**Charges
Cost of certificates ($17.75 for 1st copy or search when no record found); $10 for each additional copy of same record ordered at same time) .....................
Convenience charge (credit card orders
$10.00) Walk in excluded .....................
*UPS Service with
CREDIT CARD ORDERS ONLY ($19)
Total Charges.......................................
*Within continental U.S.
$
$_________
$ ________
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