azdhs.gov Applying for a Delayed Birth Certificate : Arizona Department of Health

Name of the Organization : Arizona Department of Health
Type of Facility : Applying for a Delayed Birth Certificate
State : Arizona
Country : United States of America

Website : http://www.azdhs.gov/licensing/vital-records/index.php#register-birth-delayed-birth-certificate
Application Form : https://www.statusin.org/uploads/24275-delayedbirth.pdf

AZDHS Applying for a Delayed Birth Certificate

Register a Delayed Birth Certificate :
** Filing for a Delayed Birth Certificate can be a lengthy process, taking up to one year to complete.
** The length of time it takes depends on how quickly the applicant submits the supporting documents that meet the requirements stated in A.A.C. R9-19-207.

Related : Arizona Department of Health Apply for Birth Certificate : www.statusin.org/24268.html

Who Can Apply for a Delayed Birth Certificate?
** Any person born in Arizona whose birth was not registered within one year after the date of birth can apply for a delayed birth certificate.
** The person for whom a Delayed Birth Certificate is needed is referred to as the “registrant”.
** The “applicant” is the person that applies for the delayed birth certificate.
** person 18 years of age or older must apply for the delayed birth certificate.

** If the person cannot apply on their own due to a mental disability, the parent or legal guardian may apply on behalf of the registrant.
** If the legal guardian applies, a certified guardianship order must be presented.
** A parent, legal guardian may apply on behalf of the registrant if the registrant is less than 18 years of age.
** If the legal guardian applies, a certified guardianship order must be presented.
** A person claiming emancipation can apply.
** A certified court order of emancipation or, if married, a certified marriage certificate will be required.

Applying for a Delayed Birth Certificate :
Step 1:
** Applicants are first required to obtain a Certificate of No Record from the State Office of Vital Records.
** To apply for a Certificate of No Record, complete the steps below and submit the following by mail-

** A copy of the front and back of your valid government-issued picture identification which bears your signature or have your signature notarized on the Arizona Vital Records Request for a Copy of the Birth Certificate.

** Include a self-addressed stamped envelope with your request.
** The Certificate of No Record fee, according to the fee schedule.
** Acceptable payment methods are: cashier’s checks, money orders, Visa, or MasterCard.
** Please Do Not Send Cash.
** Cashier’s checks and money orders must be for the exact amount and made payable to Office of Vital Records.
** If you pay by credit/debit card, you must include the full card number and expiration date on your application.

Note :
** An incomplete application will delay the processing of your request.

Step 2 :
** Once the State Office of Vital Records determines a birth certificate is not registered in the State of Arizona, the applicant will receive their Certificate of No Record and the Delayed Birth Packet. Read the delayed birth packet thoroughly.

The following must be submitted to the State Office of Vital Records to apply for a delayed birth certificate:
** The original or a photo copy of the Certificate of No Record.
** A completed delayed birth application.

Note :
** The delayed birth application must be completed listing the same information as listed on the Certificate of No Birth Record (e.g., registrant’s name, date of birth, mother’s maiden name).
** The delayed birth application fee according to the fee schedule.
** Acceptable payment methods are: cashier’s checks, money orders, Visa, or MasterCard.
** Please Do Not Send Cash.
** Cashier’s checks and money orders must be for the exact amount and made payable to Office of Vital Records.
** If you pay by credit/debit card, you must include the full card number and expiration date on your application.
** A copy of the front and back of your valid government-issued picture identification which bears your signature or have your signature notarized on the Arizona Vital Records Request for Copy of Birth Certificate.

** The original documents the applicant wants to submit for review (documents submitted to support registration of a delayed birth certificate).
** If the child is currently less than 18 years of age and the parents were not married at the time of the child’s birth, the parents must complete and submit the Acknowledgment of Paternity.
** If they were married, a certified marriage certificate must be submitted.

What Are the Requirements to Establish a Delayed Birth Certificate?
Affidavit of Facts of Birth :
** A person who has personal knowledge of when and where the child was born can complete the affidavit.
** This can be the mother, father, or family member who was at least ten years old when the child was born.
** The individual that completes this form must sign it in front of a Notary Public.
** One independent factual document that was established before the child was five years old.
** A document that was established by an unrelated third party, such as a midwife, hospital, physician, church, etc.

The document must contain the following information:
** registrant’s name, date of birth, place of birth, and the date the document was created.
** One independent factual document that establishes the mother’s presence in Arizona at the time of the child’s birth.
** A document created by an unrelated third party such as a utility company, income tax consultant, public assistance agency, physician, etc.
** The document must include the mother’s name, street address and date when the document was created.
** This information must establish that the mother was in the State of Arizona at the time of the child’s birth.