Vital Records Supply Form
NEW YORK STATE DEPARTMENT OF HEALTH
Vital Records Section - Registration Unit
Vital Records Supply Form
SEND YOUR ORDER TO:
MAILING LABEL
(Please print or type, Do not use stamp,)
Vital Records Section
New York State Department of Health
Registration Unit
P.O. Box 2602
Albany, NY 12220-2602
District No(s).
Name
Title
Mailing Address
(Street or PO Box)
Date order mailed:
(City, Town or Village)
Zip Code
DOH ORDER #:
NAME OF FORM Form No, Quantity NAME OF FORM Form No. Quantity
REFERENCE MATERIALS APPLICATION FORMS
Vital Records Supply Form DOH-2230 2 Search of Birth Records DOH-296A
(Automatically Supplied with Order) Search of Death Records DOH-294A
Genealogical Searches DOH-1562
Search of Marriage Records DOH-301
Search of Dissolution of Marriage Records DOH-295
BIRTH FORMS
Certificate of Live Birth DOH-1963 MARRIAGE & DISSOLUTION OF MARRIAGE FORMS
Marriage License and Affidavit DOH-98
Electronic Birth Certificate Work Booklet (English) DOH-2184E Getting Married in NYS - Information Booklet PAG-4210
Electronic Birth Certificate Work Booklet (Spanish) DOH-2184S AIDS Fact Sheet PAG.{)245
Affidavit for Correction of Marriage DOH-1827
Supplemental Report of Given Name (VS-31) DOH-51 Certificate of Consent DOH-2279
Application for Correction of Certificate of Birth DOH-297 Monthly Report of Marriage Licenses Issued DOH-963
Instructions for the Correction of a Birth Certificate DOH-297i Certificate of Marriage Registration (VS-12) DOH-130
Certification of Birth (VS-10) [8.5 x 11 inch form] DOH-2248a Return Envelope (Limit 24 per year) (VS-7) DOH-2388
No Record Certification - Birth (VS-11) DOH-3656 No Record Certification - MarriaCle (VS-13) DOH-3654
Certification of Birth (Foundling) DOH-2676 Certificate of Dissolution of Marriage (VS-140) DOH-2168
Certified Transcript of Birth DOH-2673 Certified Transcript of Marriage DOH-4122
Report of Voided Certification of Birth Forms DOH-2822
Report of Voided Certified Transcript of Birth Forms DOH-2824 AUTOMATIC TRANSFER BINDERS
Birth Information Release Form DOH-3965 Birth - for binding 500 Certificates DOH.{)01
Death - for binding 500 Certificates DOH.{)02
INDEX PAGES
DEATH AND FETAL DEATH FORMS Birth - loose leaf pages for binders DOH-2392
Certificate of Death DOH-1961 Death - loose leaf pages for binders DOH-2393
Burial-Transit Permit (VS-61) DOH-1555 MISSING CHILDREN
Application for Correction of Certificate of Death DOH-299 Notification of Request for DOH-3895
Instructions for Correcting Death Certificate DOH-299i Missing Child's Birth Certificate
MedicallBurial Death Correction Report (VS-64B) DOH-1999 Physical Description Form DOH-3896
Undertaker's Request for Disinter Body (VS-67) DOH-2699
Report of Autopsy (VS-69) DOH-3657 ADOPTION REGISTRY
Certification of Death (short form) DOH-2825 Information Packet PAG.{) 1 01
No Record Certification - Death (VS-63) DOH-3405 Aoolication - Adootee Reaistration Form DOH-3D
Certificate of Fetal Death - Spontaneous Termination DOH-3547 Application - Birth Parent Registration Form DOH-4065
Certificate of Fetal Death - Induced Termination DOH-3548
Monthly Count of Report of Fetal Death DOH-2179 MISCELLANEOUS
Report of Voided Certification of Death Forms DOH-2823 Appointment of Registrar DOH-1556
Certified Transcript of Death DOH-4144 Appointment of Sub-Registrar DOH-2457
DOH-2230 (05/06) Page 1 of 2
Ordering Vital Records Forms
Ordering Schedule
Registrars and clerks: Refer to the Ordering
Schedule to determine the designated ordering
point for your district. Mail your orders so they
are received at the Department of Health
within the designated week for the County
where your district is located. Orders received
before or after the designated week will be
held for processing until the next cycle.
Find the county in which your district is
located. Send your order so it will be received
by the Department of Health during the week
of the month specified for that county.
NOTE: The First Week of the Month is the
week in which the first Monday occurs, the
Second Week corresponds to the second
Monday, etc.
When ordering forms, please:
First Week of the month:
.I Send one order each month.
.I Use the current Vital Records Supply Form,
DOH-2230.
Albany
Allegany
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung
Chenango
Clinton
Columbia
Cortland
Delaware
Dutchess
Erie
.I Adhere to the schedule.
.I Plan ahead. Don't wait until you are out of
forms to place your order.
.I Maintain a three-month supply of forms.
Over ordering depletes the Health
Department's inventory and causes
shortages.
Second Week of the month:
.I Fill out the Vital Records Supply form
completely.
Essex
Franklin
Fulton
Genesee
Greene
Hamilton
Herkimer
Jefferson
Lewis
Livingston
Madison
Monroe
Montgomery
Nassau
Niagara
Oneida
.I Order by mail. Telephone requests will not
be accepted.
.I Specify the actual number of forms needed.
Do not order packages.
Third Week of the month:
.I Specify "Vital Records Supply Form" in the
lower-left corner of your mailing envelope.
Onondaga
Ontario
Orange
Orleans
Oswego
Otsego
Putnam
Rensselaer
Rockland
St. Lawrence
Saratoga
Schenectady
Schoharie
Schuyler
.I Make sure your district number and
address are legible.
Send your orders to:
Fourth Week of the month:
New York State Department of Health
Vital Records Section/Registration Unit
P.O. Box 2602
Albany, NY 12220-2602
Seneca
Steuben
Suffolk
Sullivan
Tioga
Tompkins
Ulster
Warren
Washington
Wayne
Westchester
Wyoming
Yates
DOH-2230 (05(06) Page 2 of 2