Superior Court >Self- Service Center >Forms >Civil Cases

PETITION TO ESTABLISH DELAYED BIRTH CERTIFICATE (after Vital Records has rejected request)
ATTENTION: You may use the forms on this page 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 first applied for a delayed birth certificate to AND the request was rejected, and you received a letter of denial from that office to file with this Petition.
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, or
  • You have not first applied to Vital Records, been rejected, and received a letter of denial from that office to file with this Petition.
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. Be sure the documents are in the following order:

Instructions
Order Title File English Spanish
1 Instructions: How to Fill Out the Forms to Request a Delayed Birth Certificate cvdb10i PDF PDF
2 Procedures: What to do after you have completed all forms cvdb10p PDF PDF
Forms
Order Title File English Spanish
1 Civil Cover Sheet cv10f PDF PDF
2 Petition for Order to Establish Delayed Birth Certificate cvdb11f PDF PDF
3 Consent and Waiver of Notice cvdb15f PDF PDF
4 Affidavit of Service by Certified Mail (if applicable) cvdb24f PDF PDF
5 Vital Records Court Ordered Delayed Birth Registration Form cvdb81f PDF PDF
6 Court Order to Establish a Delayed Birth Certificate cvdb82f PDF PDF

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