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Forms for Vital Statistics and Registration


For the General Public (Para el publico en general)
Form # Title PDF/WORD Instruction/ Comments
REG-3 Application for a Certification or Certified Copy of a Vital Record  
 
Replaced by REG-27 and REG-28  
REG-3A Fees and Information for Vital Records (English/Spanish)  
 
Replaced by REG-27A, REG-27B, REG-28A and REG-28B  
REG-7E Application for A Certified Copy of a No Record of Marriage Statement pdf 22k
doc 135k
 
REG-20 Authorization for Release of Cause of Death
Autorización para la Emision de Causa de Muerte
(Combined English and español)
pdf 18k
doc 39k
 
REG-27 Application for a Non-Genealogical Certification or Certified Copy of a Vital Record
Aplicación Para Copias Certificadas ó Certificaciones de Registros Civiles No-Ancestro
(Combined English/español)
pdf 61k
doc 53k
English Instructions (REG-27A)
pdf 28k
doc 41k

español Instrucciones (REG-27B)
pdf 28k
doc 44k  
REG-28 Application for a Genealogical Certification or Certified Copy of a Vital Record
Aplicación Para Copias Certificadas ó Certificaciones de Registros Civiles Ancestro
(Combined English/español)
pdf 60k
doc 51k
English Instructions (REG-28A)
pdf 26k
doc 40k

español Insturcciones (REG-28B)
pdf 27k
doc 45k  
REG-31 Consent of Parents or Guardian to Marriage or Civil Union of Minor
Consentimiento Paterno ó de Guardian Legal para Matrimonio o Unión Civil de un Menor
(Combined English/español)
pdf 96k
doc 51k
 
REG-44 Report of Adoption
Registrar una Adopción
pdf 16k
doc 43k
English Instructions

español Instrucciones  
REG-68 Request to Place on File a Certificate of Birth Resulting in Stillbirth
Solicitud para Archivar un Registro de Partida de Nacimiento Resultando en Parto Muerto
pdf 14k
doc 36k
Guidelines (Guia), (English/español) (REG-D34)
pdf 31k
doc 37k  
REG-77 Application for Marriage, Remarriage, Civil Union, or Reaffirmation of Civil Union License (replaces REG-15 form)
Aplicación para Licencia: Matrimonio, Unión Civil, Rematrimonio, y Reafirmación de Unión Civil
pdf 26k
doc 91k
Instructions
pdf 20k  
REG-D7 Notice of Rights and Obligations of Domestic Partners pdf 21k
doc 39k
 
REG-D7A Notice of Rights and Obligations of Domestic Partners (Spanish) pdf 25k
doc 44k
 
REG-D30 "Entering into a Marriage or Civil Union in New Jersey" Brochure pdf 16k
doc 31k
 
REG-D30A "Entering into a Marriage or Civil Union in New Jersey" Brochure (español) pdf 21k
doc 46k
 
REG-D30B Entering into a Marriage or Civil Union in New Jersey Brochure (Russian) pdf 155k
doc 38k
 
REG-D30C Entering into a Marriage or Civil Union in New Jersey Brochure (Korean) pdf 119k
doc 47k
 
REG-D33 "Registering a Domestic Partnership in New Jersey" Brochure pdf 14k
doc 31k
 
REG-D33A "Registering a Domestic Partnership in New Jersey" Brochure (español) pdf 22k
doc 41k
 
REG-D33B Registering a Domestic Partnership in New Jersey (Russian) pdf 118k
doc 40k
 
REG-D33C Registering a Domestic Partnership in New Jersey (Korean) pdf 120k
doc 48k
 
REG-D34 Guidelines for Requesting to Place on File a Certificate of Birth Resulting in Stillbirth (English/español) pdf 31k
doc 37k
 

For Professional Partners (Para Socios Profesionales)
Form # Title PDF/WORD Instruction/ Comments
REG-1 Quarterly Report of Domestic Partnerships Registered pdf 16k
doc 41k
 
REG-4 Module 1, Birth Certificate Worksheet, Prenatal Information pdf 23k
doc 69k
 
REG-4 Module 2, Birth Certificate Worksheet, Labor and Delivery pdf 106k
doc 49k
 
REG-4 Module 3, Birth Certificate Worksheet, Newborn Delivery pdf 61k
doc 79k
 
REG-4A Module 4, Birth Certificate Worksheet, Parent Information Module (Spanish)(Legal-Sized Format) pdf 69k
doc 99k
 
REG-4A Module 4, Birth Certificate Worksheet, Parent Information Module (Spanish)(Letter-Sized Format) pdf 102k
doc 99k
 
REG-4 Module 4, Birth Certificate Worksheet, Parent Information Module pdf 26k
doc 98k
 
REG-4 Module 5, Birth Certificate Worksheet, Newborn Discharge Module(Legal-Sized Format) pdf 38k
doc 71k
 
REG-4 Module 5, Birth Certificate Worksheet, Newborn Discharge Module (Letter-Sized Format) pdf 40k
doc 90k
 
REG-4 Module 6, Birth Certificate Worksheet, Parent /Guardian Module pdf 19k
doc 44k
 
REG-4 Module 7, Birth Certificate Worksheet, Mother's Discharge Information pdf 72k
doc 37k
 
REG-5 Report of No Births, Marriages, Civil Unions, Domestic Partnerships, Fetal Deaths or Deaths pdf 13k
doc 27k
 
REG-10 Module 3, Fetal Death Certificate Worksheet, Delivery Module pdf 96k
doc 89k
 
REG-10A Module 4, Fetal Death Certificate Worksheet, Parent Information Module (Spanish) (Legal-Sized Format) pdf 81k
doc 98k
 
REG-10A Module 4, Fetal Death Certificate Worksheet, Parent Information Module (Spanish) (Letter-Sized Format) pdf 87k
doc 100k
 
REG-10 Module 4, Fetal Death Certificate Worksheet, Parent Information Module pdf 30k
doc 97k
 
REG-13 Certified Municipal Registrar Recertification Course Tracking Log pdf 11k
doc 46k
 
REG-15 Application for Initial Certified Municipal Registrar (CMR) Certification Course pdf 10k
doc 29k
 
REG-34 Request for Correction or Addition to Original Record of Birth, Marriage, Civil Union, Domestic Partnership or Death pdf 46k
doc 56k
 
REG-37 Application for Non-Genealogical Certification or Certified Copy of a Vital Record (Local Use) pdf 61k
doc 55k
 
REG-38 Application for Genealogical Certification or Certified Copy of a Vital Record (Local Use) pdf 60k
doc 52k
 
REG-62 Request to Purchase Certified Copy of Vital Records Forms pdf 27k
doc 37k
 
REG-64 Consent for Artificial Insemination pdf 15k
doc 34k
 
REG-66 Log of Voided Certified Copy Forms pdf 25k
doc 56k
 
REG-69 Quarterly Report of Burial Permits Issued pdf 16k
doc 41k
 
Go to Vital Statistics and Registration     Additional Department Forms

Department of Health and Senior Services

P. O. Box 360, Trenton, NJ 08625-0360
Phone: (609) 292-7837
Toll-free in NJ: 1-800-367-6543
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