The Arkansas Birth Certificate form, managed by the Arkansas Department of Health Vital Records, is a key document for requesting a certified copy of a birth certificate for individuals born in the state of Arkansas. This form serves as an application that must accompany the appropriate fees, with detailed instructions for submission, including fees of $12.00 for the first copy and $10.00 for each additional copy of the same record. To expedite the process of obtaining a birth certificate, individuals are offered multiple methods of submission, including mail, internet, telephone, or walk-in services. Click the button below to start filling out your Arkansas Birth Certificate form today.
Obtaining a birth certificate in Arkansas is a process navigated through the Arkansas Department of Health Vital Records. With a specific mandate to record only births occurring within the state, the office holds records dating back to just before February 1, 1914. The process for requesting a birth certificate is outlined in a straightforward application, requiring a $12.00 fee for the initial copy and a subsequent $10.00 fee for each additional copy of the same record. It's important to note that these fees are non-refundable, even if the search yields no results, underscoring the importance of providing accurate information upfront. Applicants are asked to furnish details such as the full name at birth, date of birth, and the full names of the parents, with special instructions for those requesting certificates for adopted children or in cases of delayed certificates. With options for submission via mail, the internet, telephone, and in-person visits, the office has sought to make the process accessible, though it requires patience with a delivery timeline of 4-6 weeks. Furthermore, stringent measures are in place against fraudulent requests, with penalties reaching up to $10,000 fines or five years of imprisonment, emphasizing the gravity of handling vital records. This process, while perhaps bureaucratic, is crucial for a range of legal and personal reasons, from obtaining passports to enrolling in schools, making the birth certificate a pivotal document in one’s life.
Arkansas Department of Health
Office of Vital Records
BIRTH CERTIFICATE APPLICATION
Only Arkansas births are recorded in this office. Prior to February 1, 1914, only a limited number of birth records were filed.
Birth certificates can be requested online, by telephone, by mail, or in-person.
When mailing in this application, include a copy of your photo ID with your payment to the Arkansas Department of Health and mail to the address listed in the payment section below. Please allow 7-14 days for processing.
List Below All Possible Birth Dates and Names Under Which the Certificate May be Registered. (Type or Print)
First Name
Middle Name
Last Name
1.
Full Name at Birth
Month
Day
Year
Sex
Age at Last Birthday
2.
Date of Birth
Select One
City or Town
County
State
3.
Place of Birth
Name of Hospital or Street Address
Arkansas
4.
Full Name of Father
5.
Full Maiden Name of Mother
(Name Before Marriage)
original name if known.
If this child has been adopted, please give
If this is a delayed certificate, when was it filed?
What is your relationship to the person whose certificate is being requested?
What is your reason for requesting this certificate?
Is the person whose certificate is being requested still living?
Yes
No
Signature and contact information of person requesting this certificate.
X
Signature
Date
Contact Number
Email Address
A valid government-issued photo identification card must be provided to
COPIES AND PAYMENT
obtain a certificate of birth. The id must contain 1) a photo, 2) current address,
1st copy costs $12
3) signature, and 4) a unique number or barcode (such as driver’s license
•
number, passport number, etc.) assigned to the person.
Each additional copy of the same record costs $10
A copy of any one of the following forms of photo identification is acceptable:
NOTE: If ADH Vital Records does not find the
birth record requested, the $12 search fee will be
• U.S. issued Driver’s License or Identification Card
kept as a search charge.
• U.S. Territories Driver License or Identification Card
• Payment MUST be submitted with application.
• Tribal Identification Card that contains the person’s signature
You can obtain a birth record four ways:
(note: some cards do not)
Online: Go to ar.gov/vitalrecords. A non-refundable $5.00 processing
• Passport (U.S. or Foreign issued)
fee and a $1.85 identity verification fee will apply in addition to any
• Visa – in passport (and the person’s signature is on the passport,
expedited shipping options selected. Pay by debit or credit card.
not the Visa)
Telephone: Call toll-free at (866) 209-9482. Payment of service fee,
• Resident Alien Card (Form 1-551)
certificate fee, and charges for any expedited shipping options may be
• Employment Authorization Card (Form 1-766)
made by debit or credit card (Visa, MasterCard, Discover, or
• Employment Authorization Card (Form 1-688A)
American Express).
Walk-in: Visit the Vital Records Office at 4815 W, Markham St.
• Temporary Resident Card (Form 1-688)
Any
person
who willfully and
knowingly makes
any false
Little Rock, AR 72205. Orders are accepted for same day issuance
from 8:00 am until 4:15 pm, Monday through Friday.
statement in an application for a certified copy of a vital record
Mail:
Include: 1) Application, 2) Copy of photo ID, and 3) check or
filed in this state is subject to a
fine
of not
more than ten
money order
(DO NOT SEND CASH) payable to:
thousand dollars ($10,000) or
imprisoned
not
more than
five
(5)
years,
or
both
(Arkansas
Statues
Number of Copies Requested_________
20-18-105).
Please PRINT the name and address of the person
Amount Enclosed $__________
receiving the birth certificate below:
Mail to: Arkansas Department of Health
4815 W. Markham St., Slot
44 Little Rock, AR 72205
VR-7 (R 11/17)
Filling out a Birth Certificate Application for the Arkansas Department of Health requires careful attention to detail and accuracy. This process is crucial for obtaining a certified copy of a birth record, which may be needed for various legal and personal reasons. Making sure every stipulation is clearly understood before beginning the application can ensure a smoother process. Here are the steps you need to follow:
After submitting the application, it is essential to allow the Arkansas Department of Health time to process the request. This procedure could take between four to six weeks. It is crucial to ensure that all provided information is accurate to avoid any delays. If further information or clarification is needed, the department may reach out using the contact details provided in the application. Certified copies of the birth certificate will be sent to the address listed on the form upon successful processing of the application and payment.
How can I apply for a birth certificate in Arkansas?
To apply for a birth certificate in Arkansas, you must fill out the Birth Certificate Application form provided by the Arkansas Department of Health Vital Records. This form requires detailed information about the individual whose certificate is being requested, including the full name at birth, date of birth, place of birth, and parents' names. Along with the completed application, you need to send a copy of your photo ID and the appropriate fee as a check or money order payable to the Arkansas Department of Health. Do not send cash. Applications can be mailed to the Arkansas Department of Health Vital Records, Slot 44, 4815 West Markham Street, Little Rock, AR 72205. Please allow 4-6 weeks for delivery.
What are the fees associated with ordering a birth certificate?
The fee for the first copy of a birth certificate is $12.00. If you require additional copies of the same record, each additional copy costs $10.00. It's important to note that the $12.00 fee is non-refundable and covers the search charges if no record of the birth is found. The fees must accompany your application in the form of a check or money order payable to the Arkansas Department of Health.
Can I order a birth certificate online or by phone?
Yes, birth certificates in Arkansas can also be ordered online or by phone. To place an order online, visit www.vitalchek.com. This method is expedited and requires payment of both the service fee and the certificate fee, which can be charged to your debit or credit card (Visa, MasterCard, Discover, or American Express). Overnight shipping is available for an additional fee. To order by phone, call toll-free at (866) 209-9482. Similar to online orders, telephone orders are expedited, and payment is made via debit or credit card, with overnight shipping as an optional service.
What should I do if I need a birth certificate for genealogy purposes?
If you're requesting a birth certificate for family history or genealogy, it's recommended to place your order by mail or through the internet. This ensures that your request is processed accordingly and helps avoid delays. When ordering for genealogy purposes, ensure to provide as much information as possible to facilitate the search for the correct birth record.
What are the office hours if I prefer to walk in and order a birth certificate?
If you prefer to order a birth certificate in person, you may visit the office at 4815 West Markham St., Little Rock, AR 72205. The office accepts orders for same-day issuance from 8:00 A.M. to 4:00 P.M., Monday through Friday. This option is best for those who require immediate service or prefer in-person communication.
What are the consequences of providing false information on the birth certificate application?
Any person who willfully and knowingly provides false information on a birth certificate application in Arkansas is subject to severe penalties. These can include a fine of up to ten thousand dollars ($10,000), imprisonment for not more than five (5) years, or both. This is in accordance with Arkansas Statutes 20-18-105, emphasizing the importance of ensuring all information provided is accurate and truthful.
Completing the Arkansas Birth Certificate Application requires attention to detail to avoid errors. Here are eight common mistakes people make when filling out this form:
Additionally, here are some frequently overlooked but critical pointers:
When processing or updating personal and legal documents, the Arkansas Birth Certificate form is crucial. However, several other forms and documents are often needed in conjunction with this certificate for various applications, such as school enrollment, passport applications, and more. Understanding these additional documents can help streamline any process requiring proof of identification or age.
Apart from these, other legal and administrative processes may also call for a birth certificate in conjunction with additional documentation. Having the Arkansas Birth Certificate and understanding the accompanying forms required for different services ensures a smoother process in legal, educational, and personal matters.
A Social Security card application mirrors the birth certificate application in several respects. Just like the birth certificate form, it is a document meant to file for an official government ID. Applicants must provide full names, birth dates, and parental information, paralleling the need for detailed personal data on the birth certificate form. The Social Security card serves as a vital identifier for work, taxes, and gaining access to services, making accurate personal information crucial, similar to the birth certificate's role in establishing identity.
Passport applications are quite similar to birth certificate forms in terms of the necessity for accuracy and detail in personal information. Passports require an individual’s full name, place, and date of birth, along with parental information, just like the birth certificate application. Furthermore, both documents are essential for identity verification, with the passport enabling international travel and the birth certificate often needed to apply for a passport in the first place.
Marriage license applications share similarities with birth certificate forms. Both documents require detailed personal information, including full names and birth dates. Moreover, marriage licenses often require the submission of a birth certificate to prove age and citizenship, highlighting their interconnectedness. These applications serve as legal acknowledgments of personal statuses, with one marking the beginning of a life and the other the commencement of a marital union.
Death certificate requests complement birth certificate forms by marking another significant life event officially. Like birth certificate applications, death certificates require specific personal information, including full names, dates of birth, and places of birth. These documents collectively ensure that significant life events are accurately recorded for governmental and personal record-keeping purposes.
Driver's license applications share commonalities with birth certificate applications as they both establish identity through detailed personal information, including name, date of birth, and sometimes parental information. A birth certificate is often a required document for obtaining a driver’s license, underscoring their complementary roles in legal identification and personal verification processes.
Voter registration forms, although focused on granting individuals the right to vote, also require personal details similar to those on a birth certificate form. Full names, dates of birth, and sometimes even parental information are needed to prevent fraud and ensure that only eligible citizens participate in elections. The foundational identity verification provided by a birth certificate indirectly supports the integrity of the electoral process.
Adoption records request forms bear resemblance to birth certificate forms, especially in situations requiring amendments or updates. Adoption records contain detailed information about an adoptee’s birth, including the original name, birth date, and birth place, akin to a birth certificate. Additionally, both documents are key to establishing legal identities, particularly in cases where an adoptee’s name changes post-adoption.
School enrollment forms often require a birth certificate for registration, making them indirectly related. These forms require detailed personal information such as student names, birth dates, and sometimes parental details, mirroring the information needed on a birth certificate. Both documents are crucial for verifying age, citizenship or residency status, and ensuring eligibility for school services.
Immigration forms bear similarities with birth certificate applications, particularly because they require comprehensive personal data, including an individual's full name, place of birth, and date of birth. The birth certificate is often needed to accompany such applications, proving citizenship or nationality. Both are vital in legal processes that establish a person’s identity and legal status within a country.
Lastly, Emergency Contact forms, though simple, echo the birth certificate's emphasis on accurate personal information. These forms require names, birth dates, and family connections, helping institutions or services to contact someone in case of an emergency correctly. The centrality of confirmed personal details in both documents underscores their importance in safeguarding individual well-being in different contexts.
When filling out the Arkansas Birth Certificate form, it’s important to adhere to specific guidelines to ensure the process is smooth and the application is error-free. Below are things you should and shouldn’t do during this critical process.
Remember, providing complete and accurate information not only expedites the process but also helps avoid unnecessary delays or the application being rejected due to errors or missing information. Additionally, keep in mind the importance of including a copy of your photo ID and adhering to the fee structure outlined in the instructions. Following these do’s and don’ts will facilitate a smoother transaction with the Arkansas Department of Health Vital Records office.
When it comes to obtaining a birth certificate in Arkansas, there are several misconceptions that can create confusion. It's important to clear these up so everyone knows exactly what to expect and how to proceed.
Understanding these key points ensures that obtaining a birth certificate from Arkansas is a smooth and straightforward process for everyone involved.
Filling out and using the Arkansas Birth Certificate Application form requires care and attention to detail. Here are some key takeaways to keep in mind:
Understanding these key points can help navigate the process of requesting a birth certificate from the Arkansas Department of Health Vital Records with confidence and ease.
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