Superior Court >Self- Service Center >Forms >Civil Cases PETITION TO ESTABLISH DELAYED BIRTH CERTIFICATE (after Vital Records has rejected request)

ATTENTION: Use the forms on this page only if the following factors apply to your situation:

• You want the Court to issue an Order to the Office of Vital Records to establish a birth certificate for a person born in Arizona who is at least one year old, AND,
• The Arizona Office of Vital Records does not have a birth record for the person for whom the certificate is requested, AND,
• You have already requested the Office of Vital Records to establish a birth certificate, but the request was rejected, and you have the documents from Vital Records showing the rejection.

DO NOT USE THESE FORMS IF...

• The person was not born in Arizona, or
• The person’s birth is registered in another state or country

This page contains court forms and instructions on how to ask the Court to Order the Arizona Office of Vital Records to register the birth of a child more than one year after the date of birth.

Packets contain ALL forms and ALL instructions needed for this process. Where there are separate packets for Instructions and Forms, get BOTH packets.

Packets
Title	File	English	Spanish
Establish Delayed Birth Certificate	CVDB1	PDF	PDF

The individual forms and instructions below are already included in the Packet(s) above. If you choose to download the documents individually, make sure you get ALL of the instructions and ALL of the forms.

Instructions
Order	Title	File	English	Spanish
1	Instructions: How to Fill Out the Forms to Request a Delayed Birth Certificate	cvdb10i	PDF  |  Word	PDF  |  Word
2	Procedures: What to do after you have completed all forms	cvdb10p	PDF  |  Word	PDF  |  Word

Forms
Order	Title	File	English	Spanish
1	Civil Cover Sheet	cv10f	PDF  |  Word	PDF  |  Word
2	Petition for Order to Establish Delayed Birth Certificate	cvdb11f	PDF  |  Word	PDF  |  Word
3	Consent and Waiver of Notice	cvdb15f	PDF  |  Word	PDF  |  Word
4	Affidavit of Service by Certified Mail (if applicable)	cvdb24f	PDF  |  Word	PDF  |  Word
5	Vital Records Court Ordered Delayed Birth Registration Form	cvdb81f	PDF  |  Word	PDF  |  Word
6	Court Order to Establish a Delayed Birth Certificate	cvdb82f	PDF  |  Word	PDF  |  Word

Available Forms