Office of Vital Statistics
Office of Vital Statistics

State Forms


The California State Health Department have several forms that are not available in electronic format, however we are pleased to send it to you by mail.

Just simply click on the link bellow and we will mail it to your address within 3 business days.

Please make sure to enter the correct necessary information in the email you will send to us.   Also take a moment to read through the Frequently Asked Questions and Manual of Procedures Sections to see what is the correct form you will need to request.

On your request, you MUST enter the following information:

  1. Your complete name;
  2. Complete address where the material should be mail to (don't forget the zip code);
  3. What type of Form you are requesting;
  4. Reason for requesting the form (this will be used in case you are requesting the wrong form for the wrong purpose)
  5. Telephone number for contact


View a list of available forms 

We no longer are able to send State Forms by mail.   In order to request them, please contact the County where the event (Birth/Death) took place.   For a list of contact information for all the CA counties,click here.
Home | Web Policy | Text-Only Site Map | Contact Us
Office of Vital Statistics, 1947 Center Street 2nd.Floor, Berkeley, CA 94704
Questions or comments? Email: Phone: (510) 981-5320
(510) 981-CITY/2489 or 311 from any landline in Berkeley
TTY: (510) 981-6903