Birth Parents Seeking Additional Information
Under Act 127, the Department of Health is to release a noncertified copy of original birth record that included the names and ages of the birth parent(s) upon receipt of an Adoptee's Application for Noncertified Copy of Original Birth Record.
Birth parents are encouraged to complete the Pennsylvania Adoption Information Registry's (PAIR) Birth Parent/Birth Parent Survivor Authorization to Release Information and Registration Form (CY 910) regardless of their decision to redact their name on the adoptee's noncertified copy of original birth record. The CY 910 form enables birth parents to file their contact preference and family medical history with the PAIR program for release to adoptees seeking additional information.
Birth Parents Requesting Name Redaction Services
Birth parents wishing to redact their names from the noncertified copy of the original birth record for an adopted individual must submit a Name Redaction Request (NRR) form. This form must be received and processed by the Department of Health, Bureau of Health Statistics and Registries (BHSR) prior to BHSR processing the Adoptee's Application for Noncertified Copy of Original Birth Record. Once a birth parent's name has been redacted, it will not be included on the noncertified copy of the original birth record provided to the adopted individual.
In addition to completing the NRR form, birth parents must also complete the Pennsylvania Adoption Information Registry's Birth Parent/Birth Parent Survivor Authorization to Release Information and Registration Form (CY 910). To meet the requirements of the NRR process, you must complete at a minimum Sections I, IIa or IIIa, and VI of Form CY 910. This form (CY 910) must be on file with the Pennsylvania Adoption Information Registry for us to accept and process your Name Redaction Request Form.
Each birth parent wishing to redact his/her name from the original birth record must submit their own separate NRR form.