Fill in a Valid Ar Birth Certificate Form Fill Out My Document

Fill in a Valid Ar Birth Certificate Form

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.

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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.

Preview - Ar Birth Certificate Form

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

 

 

 

 

 

 

 

 

First Name

 

 

Middle Name

Last Name

4.

Full Name of Father

 

 

 

 

First Name

 

 

Middle Name

Last Name

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

Arkansas Department of Health

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)

Document Data

Fact Detail
Department Handling Arkansas Department of Health Vital Records
Location Slot 44, 4815 West Markham Street, Little Rock, AR 72205
Record Availability Only Arkansas births. Limited records before February 1, 1914.
Application Fee $12.00 for the first copy, $10.00 for each additional copy.
Non-refundable Search Charge $12.00 retained if no record is found.
Accepted Payment Methods Check or money order payable to the Arkansas Department of Health. Cash is not accepted.
Penalty for False Statements Fine up to $10,000 or imprisonment up to 5 years, or both, according to Arkansas Statutes 20-18-105.

Steps to Writing Ar Birth Certificate

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:

  1. Type or print the full name at birth including the first name, middle name, and last name in the designated sections.
  2. Enter the Date of Birth by filling out the month, day, and year fields, and specify the sex and age on the last birthday of the individual whose birth certificate is being requested.
  3. For the Place of Birth, list the name of the hospital or the street address in the city or town, county, and state of birth.
  4. Supply the full name of the father including first name, middle name, and last name.
  5. Provide the full maiden name of the mother (name before marriage) including first name, middle name, and last name.
  6. If the child has been adopted, enter the original name if known. Additionally, if this is a delayed certificate, note when it was filed.
  7. Indicate your relationship to the person whose certificate is being requested and the reason for the request. Specify whether the person whose certificate is being requested is still living by selecting Yes or No.
  8. Sign the application and provide a telephone number for any potential follow-up.
  9. Remember to attach a copy of your photo ID along with the application. Calculate the total fee — $12.00 for the first copy and $10.00 for each additional copy of the same record. Write a check or money order payable to the Arkansas Department of Health. Do not send cash. Mail this application, the document for photo identification, and the payment to the address provided on the form. Allow 4-6 weeks for delivery.

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.

Frequently Asked Questions

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.

Common mistakes

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:

  1. Incorrect or Incomplete Names: Failing to list the full name at birth, including the first, middle, and last names, can lead to processing delays.
  2. Date of Birth Errors: Entering the wrong birth date, or formatting the date incorrectly, can cause significant issues in obtaining the correct record.
  3. Not Listing All Possible Names: For individuals who may be registered under a different name (e.g., adopted children), omitting potential names can result in a failed search.
  4. Place of Birth Details: Neglecting to provide the complete address of the place of birth, including the hospital or street address, can hinder record retrieval.
  5. Mother's Full Maiden Name: Not specifying the mother's maiden name in full (first, middle, last) can lead to inaccuracies in identifying the birth record.
  6. Payment Issues: Sending the incorrect fee amount, forgetting to include payment, or sending cash despite the instructions not to are common financial oversights.
  7. Lack of Required Identification: Failing to include a copy of photo identification with the application can cause the request to be rejected.
  8. Signatory Errors: Not signing the application or providing a telephone number can delay processing and verification.

Additionally, here are some frequently overlooked but critical pointers:

  • Verify the application for accuracy before submission to reduce the risk of errors.
  • Use the correct form specific to the Arkansas Department of Health to ensure the request is processed efficiently.
  • Keep a copy of the completed application and any correspondences for your records.
  • Remember to account for processing time and submit the application well in advance if the certificate is needed by a specific date.

Documents used along the form

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.

  • Social Security Card Application (Form SS-5): Needed to apply for a Social Security number for a child or adult. This is essential for tax purposes, employment, and accessing government services.
  • Passport Application Forms (DS-11): Required when applying for a U.S. passport for the first time. The birth certificate validates the applicant’s citizenship and age.
  • Driver’s License Application: When applying for a first driver’s license, the birth certificate is used to verify the applicant's age and identity.
  • Marriage License Application: Couples need to present their birth certificates to confirm their ages and that they are eligible to marry.
  • School Registration Forms: Used to enroll children in school, showing the child’s birth certificate verifies their age, ensuring placement in the correct grade.
  • Application for Military Service: Prospective members of the armed forces must provide a birth certificate as part of the identification verification process.
  • Voter Registration Form: While a birth certificate may not be directly required for voter registration, it helps in obtaining a state ID or driver's license, which is often needed to register.

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.

Similar forms

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.

Dos and Don'ts

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.

  • Do verify all the information you provide on the form, double-checking for accuracy regarding names, dates, and addresses.
  • Do use a black or blue ink pen if you are filling out the form by hand. This ensures the application is legible and photocopies clearly.
  • Do include all possible birth dates and names the certificate may be registered under, to avoid delays in your application being processed.
  • Don’t send cash with your application. Use a check or money order payable to the Arkansas Department of Health for the correct amount.
  • Don’t guess information. If unsure about any details, it’s better to seek clarification or confirmation before submitting the form.
  • Don’t use nicknames or abbreviations for names or addresses. Always provide full and formal documentation names to ensure the certificate accurately reflects official records.

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.

Misconceptions

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.

  • Only people born in Arkansas can use this service. This is true. The Arkansas Department of Health records only those births that occurred within the state.
  • Records are available for all births from the establishment of the office. Actually, there are limited records before February 1, 1914. So, if you're looking for a birth record before this date, availability may vary.
  • The same fee applies no matter how many copies you order. This isn't correct. The first copy costs $12.00, and each additional copy of the same record ordered at the same time is $10.00.
  • If no record is found, you get all your money back. If the office cannot find the record, $12.00 of your fee will still be retained to cover the search charges.
  • Any form of payment is accepted. The office stipulates that payment should be made through check or money order payable to the Arkansas Department of Health, explicitly advising against sending cash.
  • Additional information provided after the initial search is free. Names and dates submitted after the first search necessitate an additional $12.00 non-refundable fee.
  • Delivery is immediate or takes very little time. The expected delivery time for a birth certificate is 4-6 weeks, so planning ahead is important.
  • Ordering online or by phone doesn't have additional costs. Actually, expedited service fees apply to orders made online or by phone, on top of the certificate fee itself.
  • Anybody can request your birth certificate. Requests for birth certificates require a photo ID and the requester must indicate their relationship to the person on the record, highlighting the process’s security measures.
  • Walk-in orders are complicated and time-consuming. On the contrary, you may order a certified copy of the birth record by walking into the office for same day issuance during business hours, offering a convenient option for urgent requests.

Understanding these key points ensures that obtaining a birth certificate from Arkansas is a smooth and straightforward process for everyone involved.

Key takeaways

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:

  • The Arkansas Department of Health Vital Records only records births that occurred within the state. This limitation is crucial for those born outside of Arkansas.
  • There is a historical depth to the records, with a limitation on the number of birth records filed before February 1, 1914. This information might affect individuals researching genealogy or family history.
  • A fee structure is in place, with the first copy of the birth certificate costing $12.00 and each additional copy of the same record costing $10.00. Understanding the fee structure is vital for budgeting purposes.
  • The fees include a non-refundable search charge of $12.00 if no record of the birth is found. Knowing this can help manage expectations regarding the outcome and costs.
  • Applications must be accompanied by a copy of a photo ID, emphasizing the importance of proving identity when requesting vital records.
  • Applicants should provide all possible birth dates and names under which the birth certificate may be registered to ensure a thorough search.
  • Various methods are available for ordering the birth certificate, including mail, internet, telephone, and walk-in, providing flexibility and convenience to applicants.
  • Expedited services are available for internet and telephone orders, accommodating individuals who need the document in a timely manner.
  • Misrepresentation or false statements on the application can result in severe penalties, including fines and imprisonment, underscoring the importance of honesty throughout the process.

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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