To submit this form, you can mail it to the Oregon Vital Records at PO Box 14050, Portland, OR 97293-0050. Alternatively, drop it off in person at 800 NE Oregon St, Portland, OR 97232. For any inquiries, contact the office at 971-673-1190 or fax your documents to 971-673-1203.

Please check the Oregon Vital Records website for any specific dates related to annual registration deadlines or changes in policies for 2024 and 2025. Ensure to keep track of your application to avoid delays. Mark your calendar for potential office closures during holidays.

The purpose of this form is to facilitate the request and retrieval of vital records, such as birth and death certificates in the state of Oregon. By completing this form, individuals can secure certified copies which are essential for legal, personal, or administrative purposes. Accurate completion and submission of the form ensure that the processing is efficient and timely.

• 1. Full Name: Enter the complete name of the person whose record is requested.
• 2. Date of Birth: Provide the date of birth in the format specified on the form.
• 3. Sex: Indicate the sex of the individual as stated on the record.
• 4. Place of Birth: Include the city and county of birth.
• 5. Parent A's Legal Name: Name of the individual’s mother or parent A at birth.
• 6. Parent B's Legal Name: Name of the individual's father or parent B at birth.
• 7. Relationship: Your relationship to the person named on line 1.
• 8. Reason for Request: State the reason you need the record.
• 9. Daytime Telephone Number: Provide a contact number for follow-up.
• 10. Email: Include an email address for correspondence.
• 11. Signature: The individual ordering must sign here.

Failure to submit this form correctly will result in delays in processing your request for vital records. Incomplete forms may be returned, necessitating a full resubmission, which can take additional time. Always double-check your entries to avoid mistakes.

• Incomplete Information: Not providing all required information can delay your application.
• Missing Identification: Failure to include valid identification will result in rejection of the request.
• Incorrect Fees: Providing an incorrect payment method or amount may hinder processing.

• 1. Personal Records: Individuals may need it to obtain their own vital records.
• 2. Legal Proceedings: Legal representatives often require this form for cases involving estate or family matters.
• 3. Government Applications: This form is necessary for fulfilling requirements related to government services or documentation.