Form ADPH-HS-88 "Application to Request a New Birth Certificate After Adoption" - Alabama

What Is Form ADPH-HS-88?

This is a legal form that was released by the Alabama Department of Public Health - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the Alabama Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ADPH-HS-88 by clicking the link below or browse more documents and templates provided by the Alabama Department of Public Health.

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Download Form ADPH-HS-88 "Application to Request a New Birth Certificate After Adoption" - Alabama

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APPLICATION TO REQUEST A NEW BIRTH CERTIFICATE AFTER ADOPTION
When a child is adopted through an Alabama court, the court forwards the order of adoption and information showing the child’s new name
and the names of the new parents to the Center for Health Statistics in Alabama. Upon receipt of the information, the Center for Health
Statistics will do one of the following depending upon where the child was born:
IF THE ADOPTED CHILD WAS BORN IN ALABAMA:
The Center for Health Statistics will prepare a new birth certificate for the child showing the new names.
The fee to prepare the new certificate of birth after adoption is $25.00 which includes one certified copy of the new record. Additional
copies of the same record ordered at the same time are $6.00 each. There is an additional fee of $15.00 to expedite a request.
To obtain a copy of the child’s new birth certificate, complete the application form below. Valid identification must be submitted
with a request for a new Alabama birth certificate after adoption. See the identification requirements on the reverse side.
IF THE ADOPTED CHILD WAS BORN IN ANOTHER STATE:
The new birth certificate for the child must be prepared in the state where the child was born.
The fee for the Center for Health Statistics to forward the order of adoption to the child’s state of birth is $10.00.
Upon receipt of the fee, the Center for Health Statistics will forward the court order of adoption and the information showing the new
name to the appropriate vital records office in the state where the child was born.
You will need to contact the state of birth for a copy of the new certificate.
Make check or money order payable to “State Board of Health.” Do not send cash. Fees are non-refundable. Complete the application
below and send with the required documents and appropriate fee to:
Center for Health Statistics
Attn: Adoptions
P.O. Box 5625
Montgomery, Alabama 36103-5625
Please allow 2-4 weeks after the court action has been completed before mailing your request, valid identification (if requesting an Alabama
birth certificate) and fee. If this is an adult adoption or you have additional questions, call 334.206.2637. Visit our website at
www.alabamapublichealth.gov/vitalrecords.
IF THE CHILD WAS BORN IN A FOREIGN COUNTRY, DO NOT COMPLETE THIS FORM. Call 334.206.2637 for additional information
and appropriate forms.
FULL NAME OF CHILD BEFORE ADOPTION (IF KNOWN) ____________________________________________________________________________
First
Middle
Last
FULL NAME OF CHILD AFTER ADOPTION
_________________________________________________________________________________________
First
Middle
Last
STATE OF BIRTH ______________________________________COUNTY OF BIRTH ______________________________________________________
DATE OF BIRTH _________________________________________________ SEX _________________________________________________________
FULL NAME OF ADOPTIVE MOTHER/PARENT
BEFORE FIRST MARRIAGE _____________________________________________________________________________________________________
FULL NAME OF ADOPTIVE FATHER/PARENT
BEFORE FIRST MARRIAGE _____________________________________________________________________________________________________
APPLICANT SECTION
If Alabama Birth,
Amount
(THIS SECTION MUST BE COMPLETED)
______________
$ ________________
Number of Copies
Enclosed
Valid identification must be submitted with a request to change a birth certificate. Anyone falsely applying for a record is subject to
a penalty upon conviction of up to three months in the county jail or a fine of up to $500. (Code of Alabama 1975,
§ 13A-10-109). By signing, you are certifying you have a legal right to the record requested.
Your Signature ______________________________________________________________________ Date _____________________________________
Print Your Name ______________________________________________________________________________________________________________
Your Relationship to Child _______________________________________________________________________________________________________
Mail to Name (if Different from You) _______________________________________________________________________________________________
__________________________________________________________________________________________________
Mailing Address
City _________________________________ State _____________ Zip _________________ Daytime Phone (_________) _________________________
I allow the following individual to receive the certificate(s) ______________________________________________________________________________
ADPH-HS-88/Rev. 05/01/2019
APPLICATION TO REQUEST A NEW BIRTH CERTIFICATE AFTER ADOPTION
When a child is adopted through an Alabama court, the court forwards the order of adoption and information showing the child’s new name
and the names of the new parents to the Center for Health Statistics in Alabama. Upon receipt of the information, the Center for Health
Statistics will do one of the following depending upon where the child was born:
IF THE ADOPTED CHILD WAS BORN IN ALABAMA:
The Center for Health Statistics will prepare a new birth certificate for the child showing the new names.
The fee to prepare the new certificate of birth after adoption is $25.00 which includes one certified copy of the new record. Additional
copies of the same record ordered at the same time are $6.00 each. There is an additional fee of $15.00 to expedite a request.
To obtain a copy of the child’s new birth certificate, complete the application form below. Valid identification must be submitted
with a request for a new Alabama birth certificate after adoption. See the identification requirements on the reverse side.
IF THE ADOPTED CHILD WAS BORN IN ANOTHER STATE:
The new birth certificate for the child must be prepared in the state where the child was born.
The fee for the Center for Health Statistics to forward the order of adoption to the child’s state of birth is $10.00.
Upon receipt of the fee, the Center for Health Statistics will forward the court order of adoption and the information showing the new
name to the appropriate vital records office in the state where the child was born.
You will need to contact the state of birth for a copy of the new certificate.
Make check or money order payable to “State Board of Health.” Do not send cash. Fees are non-refundable. Complete the application
below and send with the required documents and appropriate fee to:
Center for Health Statistics
Attn: Adoptions
P.O. Box 5625
Montgomery, Alabama 36103-5625
Please allow 2-4 weeks after the court action has been completed before mailing your request, valid identification (if requesting an Alabama
birth certificate) and fee. If this is an adult adoption or you have additional questions, call 334.206.2637. Visit our website at
www.alabamapublichealth.gov/vitalrecords.
IF THE CHILD WAS BORN IN A FOREIGN COUNTRY, DO NOT COMPLETE THIS FORM. Call 334.206.2637 for additional information
and appropriate forms.
FULL NAME OF CHILD BEFORE ADOPTION (IF KNOWN) ____________________________________________________________________________
First
Middle
Last
FULL NAME OF CHILD AFTER ADOPTION
_________________________________________________________________________________________
First
Middle
Last
STATE OF BIRTH ______________________________________COUNTY OF BIRTH ______________________________________________________
DATE OF BIRTH _________________________________________________ SEX _________________________________________________________
FULL NAME OF ADOPTIVE MOTHER/PARENT
BEFORE FIRST MARRIAGE _____________________________________________________________________________________________________
FULL NAME OF ADOPTIVE FATHER/PARENT
BEFORE FIRST MARRIAGE _____________________________________________________________________________________________________
APPLICANT SECTION
If Alabama Birth,
Amount
(THIS SECTION MUST BE COMPLETED)
______________
$ ________________
Number of Copies
Enclosed
Valid identification must be submitted with a request to change a birth certificate. Anyone falsely applying for a record is subject to
a penalty upon conviction of up to three months in the county jail or a fine of up to $500. (Code of Alabama 1975,
§ 13A-10-109). By signing, you are certifying you have a legal right to the record requested.
Your Signature ______________________________________________________________________ Date _____________________________________
Print Your Name ______________________________________________________________________________________________________________
Your Relationship to Child _______________________________________________________________________________________________________
Mail to Name (if Different from You) _______________________________________________________________________________________________
__________________________________________________________________________________________________
Mailing Address
City _________________________________ State _____________ Zip _________________ Daytime Phone (_________) _________________________
I allow the following individual to receive the certificate(s) ______________________________________________________________________________
ADPH-HS-88/Rev. 05/01/2019
IDENTIFICATION REQUIREMENTS FOR RESTRICTED ALABAMA VITAL RECORDS
Identification is required of any applicant requesting a restricted Alabama vital record (birth certificate
less than 125 years from the date of birth or death certificate less than 25 years from the date of death). The
applicant must submit a completed request and one form of identification from the Primary ID list below. In
the event the applicant is unable to provide identification from the Primary ID list, he/she may provide two
different forms of identification from the Secondary ID list.
If the applicant designates another individual to pick up a restricted certificate on his/her behalf, both
the applicant and the designee must provide acceptable identification.
The completed request, as well as a copy of all identification submitted, will be maintained by the vital
records office which processes the request.
Primary IDs Including PHOTO
Secondary IDs
(need at least one, current, expired no more
(need at least two)
than 60 days)
-
Alabama Driver’s License
-
-
Out-of-State Driver’s License
Expired, Government-Issued ID
-
-
State-Issued Non-Driver ID
Utility Bill (No more than 6 months old)
-
-
Work ID (If applicant is making personal
U.S. or Foreign Passport
-
request)
U.S. Certificate of Naturalization
-
-
Vehicle Registration or Vehicle Title
Certificate of Citizenship
-
-
Property Tax Bill
U.S. Military ID
-
-
Military Discharge (DD Form 214)
Work ID (If applicant is employee of
-
agency/company making request)
Voter Registration Card
-
-
Alien Resident Card (Temporary or
Health Insurance Card
-
Permanent)
Social Security Correspondence (not
-
Card)
U.S. Employment Authorization Card
-
-
U.S. Selective Service Card
Citizenship ID Card
-
-
Tribal ID
Recent DMV Receipt for Fines Paid
-
-
Pilot’s License
Fishing or Hunting License
-
-
Boating License
Copy of Police Report or other official
-
documents which support theft, in cases
Concealed Weapons License
-
where individual’s ID has been stolen
Ex-Felon ID
-
-
Autism Spectrum Card
Inmate ID issued by the U.S. Dept of
-
Justice w/ following documentation:
Immunization (Shot) Record
o Supporting documents from
*In special cases where applicant is unable to
institution if inmate is still in
custody, letter of release from
provide any of these documents, please contact
institution if inmate has been
CHS at 334.206.5418.
released
-
School ID (Must include current school
term)
-
Alabama Voter Identification Card
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