Pennsylvania Department of Health
Pennsylvania Department of Health, Certificates and Records
Birth Certificate Application.
625 Forster Street
Health and Welfare Building
Harrisburg, PA 17120
Eligibility: Thos experiencing homelessness
Phone/FAX Numbers
  • (877) 724-3258 Main
  • (717) 787-6436 Other
Intake Requirements:
  • Fill out application.
    • An advocate (shelter staff, social worker and/or attorney) must also fill out their portion to on the application, include photocopy ID and a letter on agency letterhead.
  • Intake Procedure:
  • Order in person at a Pennsylvania Vital Records branch office in Erie, Harrisburg, New Castle, Philadelphia or Scranton. Delivery ranges from same day to five days based on teh public office processing time.
    • Order by mail: Send application to:
      Department of Health
      Division of Vital Records
      PO Box 1528
      New Castle, PA 16103

      The application processing time is expected to take approximately three (3) weeks.

    • Application Information: (NOTE: Do a test "save" of the application before you complete it. "Printing to file" seems to work better than just trying to do a "save as".)
      Click here for application PDF
      OR cut and paste web site in your browser: https://www.health.pa.gov/topics/Documents/Certificates%20and%20Records/Application%20for%20Birth%20Certificate%20with%20Fees%20Waived%20for%20Individual%20Who%20is%20Experiencing%20Homelessness.pdf
  • Geographical Area: Pennsylvania
    Services:
    • Birth Certificates
    • Records/Licenses/Permits Fee Payment Assistance
    If you represent this agency, update your listing here.
    * The community resource directory information is up to date to the best of our knowledge. However, you should always call the provider to confirm this information and make an appointment. Be sure to confirm payment information with the provider, if payment is required. Pennsylvania 211 does not rate, recommend or endorse any agency. We simply provide information as a public service.
    Pennsylvania Department of Health
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