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Request Certification of a Birth or Death Record

Government agencies needing certification for official use, like for employment,  security purposes or to close a case file, can request certification. 

How to Request Verification of a Birth or Death Record

This form is used by a government agency requesting certification of a vital records for official business purposes, such as employment or security purposes or to close a case file. The government agency must provide sufficient information for Vital Records program staff to locate a record. Vital Records program staff indicate if a record exists and if the data identified by the government agency is certified per the record.

Download, print, and fill out a Request for Certification of a Birth Record or Request for Certification of a Death Record. Mail your request to the Department of Health's Division of Vital Records at: 

Department of Health
Bureau of Health Statistics & Registries
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103