What records can I request with this application?

The form covers non-genealogical birth, marriage, civil union, domestic partnership, and death records. It lets you request a certification or a certified copy.

Do I need a notary for the Non-Genealogical Vital Records Request?

No. The application itself is signed without a notary. If you request mailing to an address different from the one on your ID, include a notarized letter with the alternate address and written mailing request.

How do I submit the Non-Genealogical Vital Records Request?

Submit it in person or by mail to the Hasbrouck Heights Health Department, 320 Boulevard, Hasbrouck Heights, NJ 07604. Include proof of identity, payment, and proof of relationship for a certified copy.

What is the fee for a copy?

The form lists a fee of $15 for each certified copy and $15 for each certification.

Hasbrouck Heights, MT · Bergen County

No notary required

Non-Genealogical Vital Records Request

Use this application to request a certification or certified copy of a non-genealogical vital record from the Hasbrouck Heights Health Department.

What this form is

This application is for requesting a certification or certified copy of a non-genealogical birth, marriage, civil union, domestic partnership, or death record. It asks for the requestor’s contact information and relationship to the person on the record, details about the record, the reason for the request, and the number of copies. Applications require proof of identity, payment, and, for certified copies, proof of relationship.

Who needs it

Anyone requesting a certification or certified copy of a non-genealogical vital record through the Hasbrouck Heights Health Department needs this application.

How to submit it

Submit the completed application to the Hasbrouck Heights Health Department, 320 Boulevard, Hasbrouck Heights, NJ 07604, in person or by mail. The form lists a $15 fee for each certified copy or certification.

About notarization

This application is signed without a notary; a request to mail records to an address different from the address on the requestor’s ID must include a notarized letter.

How to submit this form

1
Download The Application
Download the Non-Genealogical Vital Records Request application.
2
Complete The Application
Enter the requestor’s information, relationship to the person on the record, record details, reason for the request, and number of copies.
3
Gather Required Items
Include valid proof of identity and payment; for a certified copy, include proof of relationship. An alternate mailing address requires a notarized letter.
4
Submit To The Health Department
Submit the application in person or by mail to the Hasbrouck Heights Health Department at 320 Boulevard, Hasbrouck Heights, NJ 07604.

Frequently asked questions

What records can I request with this application?: The form covers non-genealogical birth, marriage, civil union, domestic partnership, and death records. It lets you request a certification or a certified copy.
Do I need a notary for the Non-Genealogical Vital Records Request?: No. The application itself is signed without a notary. If you request mailing to an address different from the one on your ID, include a notarized letter with the alternate address and written mailing request.
How do I submit the Non-Genealogical Vital Records Request?: Submit it in person or by mail to the Hasbrouck Heights Health Department, 320 Boulevard, Hasbrouck Heights, NJ 07604. Include proof of identity, payment, and proof of relationship for a certified copy.
What is the fee for a copy?: The form lists a fee of $15 for each certified copy and $15 for each certification.

Need something notarized?

This Non-Genealogical Vital Records Request doesn’t need a notary — but if you have another Hasbrouck Heights form that does, a commissioned online notary can help.