Upper Pittsgrove, MT · Salem County
Certified Copy Request of Vital Statistic
This application lets eligible requestors ask Upper Pittsgrove’s Registrar of Vital Statistics for a certification or certified copy of a birth, marriage, civil union, domestic partnership, or death record.
What this form is
Use this application to request a certification or certified copy of a non-genealogical vital record from Upper Pittsgrove. It asks for the requestor’s contact details, relationship to the person on the record, reason for the request, record details, and number of copies. The instructions say to provide valid proof of identity, payment, and—when requesting a certified copy—proof of eligibility.
Who needs it
Anyone requesting a certification or certified copy of an eligible non-genealogical vital record from Upper Pittsgrove should complete this application.
How to submit it
Submit the application to the Upper Pittsgrove Registrar of Vital Statistics at 431 Route 77, Elmer, NJ 08318. The form lists a $10 fee per requested certified copy.
About notarization
The application is signed and dated without a notary; a request to mail records to an address other than the one on your ID must include a notarized letter.
How to submit this form
- 1
Download The Application
Download the Upper Pittsgrove application for a non-genealogical certification or certified copy of a vital record.
- 2
Complete The Request
Enter your contact information, relationship to the person on the record, reason for the request, record details, and number of copies.
- 3
Gather Required Items
Include valid proof of identity and payment; for a certified copy, include proof of eligibility. A different mailing address requires a notarized letter.
- 4
Submit To The Registrar
Submit the application to the Upper Pittsgrove Registrar of Vital Statistics at 431 Route 77, Elmer, NJ 08318.
Frequently asked questions
- Do I need a notary for the Upper Pittsgrove vital record request?
- No. Sign and date the application without a notary. If you want records mailed to an address different from the address on your ID, include a notarized letter with the alternate address and written mailing request.
- How do I submit the vital record request?
- Submit it to the Upper Pittsgrove Registrar of Vital Statistics at 431 Route 77, Elmer, NJ 08318.
- What supporting documents are required?
- The instructions require a completed application, valid proof of identity, and payment. For a certified copy, you must also provide proof that establishes your eligibility.
Need something notarized?
This Certified Copy Request of Vital Statistic doesn’t need a notary — but if you have another Upper Pittsgrove form that does, a commissioned online notary can help.