Registry entry

Florida Birth Certificate Request

Request a certified copy of a Florida birth certificate — either a computer-generated certification or a photocopy-generated certificate of live birth — by mail or walk-in application to the Florida Department of Health's Bureau of Vital Statistics. It models the Bureau's own DH 726 'Application for Florida Birth Certificate' form: applicant identity and mailing address, the source's six numbered eligible-requestor categories (registrant, parent, legal guardian, legal representative, court-order designee, or a deceased registrant's spouse/child/grandchild/sibling), the attorney-of-record sub-flow, the birth-record search fields, and the certification-type/quantity/rush/payment ordering fields. It is the first `us/fl/*` schema published, and mirrors the `us/ca` state-level jurisdiction pattern (`level: subnational`, `subdivision: US-FL`). It does not model the Bureau's third-party-vendor 'Order Online with VitalChek' channel — VitalChek is an independent, separately contracted vendor, not the Department of Health's own system, and its own online application flow is out of scope for a schema of the Department's process. It does not model the exact-year-unknown/multi-year search mechanic beyond its flat per-year search fee, the Spanish-language DH 726S form, or in-office identity verification at the Bureau's Jacksonville walk-in counter. It does not submit the request; the live floridahealth.gov source is always authoritative (see VERIFICATION.md).

Registry entry

us/fl/doh/birth-certificate-request

Jurisdiction
United States · Florida (subnational)
Version
1.0.0
Verification
draft

GovSchema spec v0.3

Authoritative source DH 726, 01/2022, 'Application for Florida Birth Certificate' (Florida Administrative Code Rule 64V-1.0131)

Machine access

Registry catalog
registry/index.jsonone record per schema id

Field reference

25 fields across 4 steps, read from the published schema.json — names, types, requiredness, and validation as the document states them. The live government form remains the authoritative source.

Requestor eligibility

  • requestorEligibilityCategory enum required

    Florida law (Section 382.025) limits who may receive a birth certificate less than 125 years old. Selecting a category outside the five directly-eligible ones routes the applicant to the notarized DH 1958 affidavit path instead of ending the request.

    enum: 7 values
  • deceasedRegistrantRelativeType enum optional

    Only a spouse, child, grandchild, or sibling of legal age (18) may receive a certificate marked 'Deceased' on this basis.

    enum: spouse | child | grandchild | sibling

Applicant information

  • applicantFullName string required

    The person requesting the record.

    length: 1–120classification: pii
  • applicantMailingAddressLine1 string required

    Mailing address

    length: 1–120classification: pii
  • applicantMailingAddressLine2 string optional

    Apartment number

    length: 0–20classification: pii
  • applicantMailingAddressCity string required

    City

    length: 1–80classification: pii
  • applicantMailingAddressState string required

    The applicant's mailing address is not necessarily in Florida.

    patternclassification: pii
  • applicantMailingAddressPostalCode string required

    ZIP code

    patternclassification: pii
  • applicantPhone string required

    Phone (with area code)

    length: 1–20classification: pii
  • applicantEmail string optional

    The form prints 'email' on the same line as phone with no marking distinguishing which, if either, is optional; modelled conservatively as optional since only phone is described elsewhere as the callback contact (see VERIFICATION.md honesty flag).

    classification: pii
  • isAttorneyRequestor boolean required

    Are you requesting this record as an attorney representing a client?

  • attorneyClientFullName string optional

    Name of client you represent

    length: 1–120classification: pii
  • attorneyClientRelationshipToRegistrant string optional

    Client's relationship to registrant

    length: 1–60
  • attorneyBarLicenseNumber string optional

    Bar / professional license number

    length: 1–40

Ordering information

  • certificationType enum required

    Type of certificate

    enum: computer_generated | photocopy_generated
  • numberOfCertificationsRequested integer required

    Total copies of the selected certificationType; the first is billed at the base fee ($9 computer-generated / $14 photocopy-generated) and each additional copy at the lower additional-copy fee ($4 either type).

    range: 1–25
  • additionalYearsSearchedQuantity integer optional

    Required when the exact birth year is unknown; billed at $2 per additional year searched, capped at a $50 total fee (25 years).

    range: 0–25
  • rushServiceRequested boolean required

    Rush orders receive priority processing for an additional $10 fee. Expedited shipping is not included and is arranged separately.

  • paymentMethod enum required

    The Bureau does not accept cash or credit cards by mail; a credit-card payment is only available through the separate, out-of-scope VitalChek vendor channel.

    enum: check | money_order

Verification record

This file is the source-review record for this document version, per the manual-source-review-v1 practice.

Current claim

  • status: draft
  • verification.method: manual-source-review-v1
  • verification.lastVerifiedAt: 2026-07-02

The document was derived directly from the Florida Department of Health's own published application form and instructions. It remains draft, not verified — see the honesty flags below for the specific ambiguities that keep it from verified.

Sources examined

  • Document (id, version): us/fl/doh/birth-certificate-request / 1.0.0
  • Spec version: GovSchema 0.3.0
  • Authority: Florida Department of Health, Bureau of Vital Statistics ("FL DOH").
  • "Birth Certificates" landing page: https://www.floridahealth.gov/certificates/certificates/birth/index.html — fetched live as raw HTML, 2026-07-02 (HTTP 200, no block). Supplied the eligible-requestor summary, the VitalChek third-party-vendor channel description (out of scope for this schema — see below), the fee schedule narrative, and the mail-in/walk-in/county-health-department ordering channels.
  • DH 726, "Application for Florida Birth Certificate" (01/2022, Fla. Admin. Code R. 64V-1.0131): https://www.floridahealth.gov/wp-content/uploads/2025/07/DH726-birth-app-6-30-2023.pdf — fetched live (HTTP 200), read directly as a PDF (both pages: the fillable application on page 1, the printed "Information and Instructions" reverse side on page 2). This is the authoritative field source: every field name/label in this schema is a direct transcription of a labelled blank on this form, and every numbered eligibility category, fee line, and acceptable-ID list comes from its reverse-side instructions.
  • Field extraction method: direct PDF read (native multimodal rendering), not a summarized fetch — recovered the exact printed wording of every field label, fee line, and instructional paragraph on both pages, per gov-form-pdf-extraction discipline.
  • Retrieved / reviewed: 2026-07-02.
  • Reviewer: GovSchema Engineering (Standards Engineer — initial authoring source review).

What was confirmed against the source

| Source element | Field(s) / documents[] entry | |---|---| | "ELIGIBILITY (Section 382.025, Florida Statutes)" numbered list 1-6 | requestorEligibilityCategory | | "a birth certificate marked 'Deceased' may be issued to registrant's spouse, child, grandchild, sibling" | deceasedRegistrantRelativeType | | "Applicant's Name: ___ (Person requesting the record)" | applicantFullName | | "Mailing Address: ___ Apt.#: ___", "City: ___ State: ___ ZIP Code: ___" | applicantMailingAddressLine1/2, applicantMailingAddressCity/State/PostalCode | | "Phone (with area code): ___ email: ___" | applicantPhone, applicantEmail | | "If applicant is an attorney, provide name of client you represent..." | isAttorneyRequestor, attorneyClientFullName, attorneyClientRelationshipToRegistrant, attorneyBarLicenseNumber | | "Full Name on Birth Record: ___" | registrantFullName | | "Sex: ___ Date of Birth: ___ City/County: ___" | registrantSex, registrantDateOfBirth, registrantBirthCityOrCounty | | "Mother's / Parent's Full Name Prior to First Marriage" / "Father's / Parent's..." | motherParentFullNameBeforeMarriage, fatherParentFullNameBeforeMarriage | | "Computer-Generated Certification of Birth" / "Photocopy-Generated Certificate of Live Birth" fee lines | certificationType, numberOfCertificationsRequested | | "Additional Years Searched: $2.00 per year (Required when exact year is unknown. Maximum fee is $50.00)" | additionalYearsSearchedQuantity | | "Rush Order (Optional): ... additional $10 fee" | rushServiceRequested | | "FEES: Check or Money Order Payable to: Vital Statistics. DO NOT SEND CASH." | paymentMethod, documents[].feePayment | | "APPLICANT'S VALID PHOTO IDENTIFICATION REQUIRED" / "ACCEPTABLE FORMS OF IDENTIFICATION: Driver License, State Identification Card, Passport, Military Identification Card" | documents[].applicantPhotoIdDocument | | "Legal Guardian (must provide guardianship papers)" | documents[].guardianshipPapersDocument | | "Legal representative ... (must provide documentation)" | documents[].legalRepresentativeDocumentationDocument | | "Other person(s) by court order (must provide certified copy of court order)" | documents[].courtOrderCopyDocument | | "notate 'Registrant Deceased' ... include a photocopy of the death certificate" | documents[].deathCertificateCopyDocument | | "the application must be accompanied with a notarized Affidavit to Release a Birth Certificate form (DH 1958) ... and a copy of valid photo identification of both" | documents[].dh1958AffidavitDocument, documents[].eligiblePersonPhotoIdDocument | | "Any person who willfully and knowingly provides any false information ... commits a felony of the third degree..." (paired with the "Signature: ___" line) | documents[].falseStatementAttestation |

Honesty flags (deliberate, recorded rather than glossed over)

  • VitalChek's own online-order flow is out of scope. The landing page prominently offers "Order Online with VitalChek," but VitalChek is stated to be an "ONLY... approved" third-party contracted vendor, not the Department of Health's own system (the DH 726 form itself repeats the same warning: "VitalChek.com is the ONLY online vendor approved... Be cautious when sharing personal information online with unknown entities"). This schema models the Department's own DH 726 mail-in/walk-in application instead, consistent with the standard's scope (we schematize government processes, not a private vendor's proprietary intake flow).
  • applicantEmail requiredness is ambiguous. The form prints "Phone (with area code): ___ email: ___" on one line with no asterisk or other marking distinguishing required from optional fields anywhere on the form. Modelled applicantPhone as required (a callback phone is referenced elsewhere in the Bureau's own assistance line) and applicantEmail as optional — a judgment call, not a confirmed rule, flagged here rather than guessed silently.
  • registrantSex has no enumerated options on the source. Unlike some other schemas' sex/gender fields (e.g. us/ny/dmv/drivers-license-renewal's explicit "M / F / X"), the DH 726 prints only a blank line ("Sex: ___") with no printed option list. Modelled as free-text string rather than inventing an enum with unconfirmed values.
  • The unknown/approximate-birth-year search mechanic is not structurally modelled. The source states the year-range search "(if unknown, specify range of years to be searched...)" is billed via the flat additionalYearsSearchedQuantity fee line, but the DH 726 form itself has no separate "year range start/end" input boxes — only the fee-quantity box. registrantDateOfBirth therefore models only the exact-date path; an applicant searching an unknown year is out of full structural scope for v1.0.0, the same kind of narrowing us/ca/dmv/real-id-application applied to its own unsourced SSN exception.
  • No cross-field "different document type" or arithmetic-total rules are enforced. numberOfCertificationsRequested, additionalYearsSearchedQuantity, and rushServiceRequested each drive a computed dollar total on the form (base fee + $4/copy + $2/year + $10 rush + $1 shipping), but this schema does not model a computed "total amount enclosed" field — GovSchema documents collect applicant-supplied data, not derived monetary totals; the documents[].feePayment entry records the payment-method rule and notes which fields drive the variable total in prose instead.
  • Spanish-language DH 726S and in-office identity verification are out of scope. The Bureau publishes a Spanish-translated DH 726S with identical fields (out of scope for this v1.0.0 English-language schema, consistent with process.language: en-US), and the walk-in counter's own in-person ID check is a service-delivery step, not an applicant-supplied data field.

Conformance

See conformance/us/fl/doh/birth-certificate-request/1.0.0/ for a mock, non-submitted request packet exercising the direct-registrant-eligible path.

View the raw record (VERIFICATION.md)

Version history

  • 1.0.0 draft latest this page has verification record schema.json

Independent and non-affiliated

GovSchema is an independent, open-source project. This reference is not produced, reviewed, or endorsed by Florida Department of Health, Bureau of Vital Statistics or any government. The authoritative source is always the live government form and its official instructions.