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In the realm of vital records and their importance in legal, personal, and administrative matters, the State of Tennessee has instituted a methodical approach to facilitate the retrieval of these documents, specifically birth certificates, through the Tennessee Department of Health, Office of Vital Records. The Application for Certified Copy of a Tennessee Certificate of Birth, known officially as the PH1654 form, serves as a critical tool for individuals seeking to obtain certified copies of birth records. This document requires basic yet detailed information about the individual whose birth certificate is being requested, including their full name (with an inquiry into any name changes not related to marriage), date of birth, place of birth, and details about the parents, underscoring the state's meticulous approach to maintaining the accuracy and privacy of these personal records. A nominal fee is charged for this service, reflecting the administrative costs associated with the search and production of these documents. Moreover, the form addresses the legality of the information provided, reminding applicants of the serious implications of falsifying information. Additionally, the state offers the convenience of purchasing a copy of the Voluntary Acknowledgment of Paternity simultaneously, if needed, indicating the form's broader role in facilitating the establishment of legal paternity in conjunction with the birth record. The application process is fortified by requirements for identification and a clear directive for non-cash payment methods, ensuring a secure transaction. This form not only embodies the procedural aspect of obtaining vital records but also signifies the state's commitment to upholding the integrity of personal documentation and the individual's right to access their personal history.

Example - Tn State Ph1654 Form

 

TENNESSEE DEPARTMENT OF HEALTH

 

OFFICE OF VITAL RECORDS

 

APPLICATION FOR CERTIFIED COPY OF A TENNESSEE CERTIFICATE OF BIRTH

 

(La versión en español al reverso de la página)

Date:

 

 

 

Number of Copies

 

 

 

 

 

Enclose $15.00 for each copy

 

 

 

Copy of Voluntary Acknowledgment of Paternity- $5.00 each copy

 

 

 

 

(When purchased with a certified copy of the birth certificate.)

Full name on birth certificate: _______________________________________________________________________________________________________

First

Middle

Last Name

Has the name ever been changed other than by marriage?

Yes

No

If yes, what was original name? _____________________________________________________________________________________________________

Date of birth:

 

 

 

 

Sex: __________________________________________

 

 

Month

Day

Year

 

Place of birth:

 

 

 

 

 

 

City

County

 

State

Foreign Country (if Report of Foreign Birth)

Hospital where birth occurred:

 

 

 

 

Full name of father:

 

 

 

 

 

Full maiden name of mother:

 

 

 

 

 

Last name of mother at time of birth:

Next older brother or sister:Younger: ________________________________________

Signature of person making request: ______________________________________________________________________________

Relationship: ____________________________________________________________________________________

Purpose of copy:

Telephone number and email where you may be reached for additional information:

(_______)________________________________ ___________________________________@_______________________________

IT IS UNLAWFUL TO WILLFULLY AND KNOWINGLY MAKE ANY FALSE STATEMENT ON THIS APPLICATION. Records are filed in this office for the past 100 years; and over 100 years are available at the TN State Library and Archives.

A fee of $15.00 is charged for the search of the records and includes one copy of the record if located. Search fees are non- refundable if the record is not on file. All items must be completed and appropriate fees attached to process this request. Do not send cash. Send check or money order payable to: Tennessee Vital Records. In addition, unless this application is notarized, you must send a photocopy of a VALID government issued ID showing your signature. If you have not received a response within 45 days, please write or call Tennessee Vital Records at (615) 741-1763.

PRINT NAME AND ADDRESS BELOW FOR OUR RECORDS

Please remember to include the Fee and a Copy of your ID. (Note: The request will be returned if not included.)

 

 

Mail Your Application To:

Name

 

 

 

 

Tennessee Vital Records

 

 

Andrew Johnson Tower, 1st Floor

Address or Route

 

 

 

710 James Robertson Parkway

 

 

Nashville, TN 37243

City and State

Zip Code

 

PH-1654 (Revised 10/2019)

SW16

Form Breakdown

Fact Name Description
Form Title Tennessee Department of Health Office of Vital Records Application for Certified Copy of a Tennessee Certificate of Birth
Form Number PH-1654
Cost for Copy $15.00 for each copy of the birth certificate
Additional Document Cost $5.00 for each copy of the Voluntary Acknowledgment of Paternity (when purchased with a certified copy of the birth certificate)
Form Revision Date Revised in October 2019
Application Mailing Address Tennessee Vital Records, Andrew Johnson Tower, 1st Floor, 710 James Robertson Parkway, Nashville, TN 37243
ID Requirement A photocopy of a VALID government-issued ID showing your signature is required unless the application is notarized
Illegal to Make False Statements It is unlawful to willfully and knowingly make any false statement on this application
Record Availability Duration Records for the past 100 years are available at the Office of Vital Records; records over 100 years old are available at the TN State Library and Archives

Detailed Instructions for Filling Out Tn State Ph1654

Filling out the Tennessee State PH1654 form is necessary for requesting a certified copy of a birth certificate. Accurate completion of this form is crucial to ensure that the Department of Health can process the request without unnecessary delays. The guidelines below have been carefully prepared to assist individuals in completing the form step-by-step, ensuring that all required information is provided correctly.

  1. Enter the date you are filling out the application on the designated line.
  2. Specify the number of copies you wish to obtain and calculate the total fee, considering it is $15.00 for each copy. If applicable, add $5.00 for each copy of the Voluntary Acknowledgment of Paternity when purchased together with the birth certificate copy.
  3. Fill in the full name on the birth certificate, including first, middle, and last names.
  4. If there has been a name change other than by marriage, check "Yes" and provide the original name. If not, check "No".
  5. Enter the date of birth, selecting the correct month, day, and year from the dropdown or entering it in the provided fields.
  6. Indicate the sex at birth by choosing the appropriate option.
  7. Provide the place of birth, including city, county, state, or foreign country if it was a report of a foreign birth.
  8. Enter the name of the hospital where the birth occurred, if applicable.
  9. Fill in the full name of the father and the full maiden name of the mother, as well as the mother's last name at the time of birth.
  10. If there are siblings, provide details about the next older brother or sister and the younger, if applicable.
  11. Sign the form under "Signature of person making request" and specify your relationship to the person on the birth certificate.
  12. State the purpose for which you need the copy.
  13. Provide a telephone number and email address where you may be reached for additional information.
  14. Ensure that a photocopy of a valid government-issued ID showing your signature is included with the application, unless the application is notarized.
  15. Complete the section at the bottom with the name and address where the birth certificate should be mailed.
  16. Write a check or money order payable to Tennessee Vital Records for the appropriate amount and attach it to your application form.
  17. Review all entered information for accuracy and completeness before mailing your application to Tennessee Vital Records, Andrew Johnson Tower, 1st Floor, 710 James Robertson Parkway, Nashville, TN 37243.

Once the application is mailed, it generally takes up to 45 days to process. If no response is received within this timeframe, reaching out to Tennessee Vital Records by writing or calling is recommended. It's important to note that all fields on the application must be completed and the appropriate fees attached; otherwise, the request cannot be processed. This attention to detail will help to avoid any delays in receiving the requested birth certificate copy.

More About Tn State Ph1654

What is the PH1654 form used for?

The PH1654 form is an application used to request a certified copy of a Tennessee birth certificate from the Department of Health, Office of Vital Records. This form can be used to obtain a birth certificate for various purposes such as legal, educational, and personal identification needs.

Who can fill out the PH1654 form?

Individuals seeking a certified copy of their own birth certificate or those requesting on behalf of another person (if they have a legitimate reason and relationship) can fill out the PH1654 form. The requestor must provide their relationship to the person on the birth certificate and the purpose for the request.

What information do you need to provide on the PH1654 form?

To complete the PH1654 form, you'll need to provide several pieces of information, including:

  • The full name on the birth certificate.
  • Any name changes (other than by marriage).
  • Date of birth.
  • Sex.
  • Place of birth (city, county, state, or foreign country if applicable).
  • Hospital where birth occurred.
  • Full name of father and full maiden name of mother.
  • Contact information.

How much does it cost to get a certified copy of a birth certificate in Tennessee?

The application requires a fee of $15.00 for the search of the records, which includes one copy of the record if located. An additional $5.00 fee is charged for each copy of a Voluntary Acknowledgment of Paternity when purchased with the certified birth certificate copy.

Are the search fees refundable?

No, the search fees are non-refundable, even if the record is not found in the Office of Vital Records.

What forms of payment are accepted?

Do not send cash. Acceptable forms of payment include check or money order, made payable to Tennessee Vital Records.

Is identification required to request a birth certificate?

Yes, unless the application is notarized, you must include a photocopy of a valid government-issued ID showing your signature with your application.

How long does it take to receive a birth certificate after the application is submitted?

If you haven't received a response within 45 days after submitting your application, you are encouraged to contact the Tennessee Vital Records Office for assistance.

Where should the PH1654 form and accompanying documents be mailed?

The completed PH1654 form, along with the required fee and a copy of your ID, should be mailed to:

  • Tennessee Vital Records
  • Andrew Johnson Tower, 1st Floor
  • 710 James Robertson Parkway
  • Nashville, TN 37243

Common mistakes

Filling out the Tennessee State PH1654 form, an application for a certified copy of a Tennessee certificate of birth, requires attention to detail and accuracy. There are common mistakes people make during this process, which can lead to delays or rejection of the application. Understanding and avoiding these errors can greatly streamline the process of obtaining a vital record.

Firstly, one of the most notable mistakes is not including the correct fee with the application. Each copy of the birth certificate costs $15.00, and if a copy of the Voluntary Acknowledgment of Paternity is requested alongside, an additional $5.00 per copy is required. Omitting or misunderstanding these fees can cause a delay in processing.

Another common error involves incorrect or incomplete information regarding the full name on the birth certificate. It is crucial to provide the full first, middle, and last name as it appears on the birth certificate. Any discrepancies or missing information can result in the application being held up.

Failure to indicate whether the name on the birth certificate has ever been changed other than by marriage can also lead to complications. If there has been a change, the original name must be accurately provided. Omitting this information or providing incomplete details may require additional clarification, further delaying the process.

Moreover, inaccuracies or the lack of details about the date and place of birth are significant errors. The application requires the exact month, day, year, city, county, and state (or foreign country if applicable). Providing incorrect information or not providing this information at all can result in the application being unable to be processed.

  1. Not attaching a photocopy of a valid government-issued ID, along with the application, if it’s not notarized, can invalidate the request.
  2. Forgetting to include the purpose of the copy and the relationship of the person making the request to the individual on the birth certificate.
  3. Leaving out the contact information section, such as a telephone number and email address, can stall the process if additional information or clarification is needed.
  4. Sending cash instead of a check or money order payable to Tennessee Vital Records is a mistake, as stated in the instructions.
  5. Not checking the box to indicate whether the application has been notarized, and if applicable, including a photocopy of a valid government-issued ID.

Additionally, not verifying the accuracy of all entered information before submitting the form can lead to unnecessary delays. It’s imperative for individuals to double-check their entries and ensure that all information is complete and accurate.

To avoid these mistakes, applicants should carefully read the instructions provided on the form and review their application thoroughly before sending. Being meticulous during this process helps in obtaining the certified copy of the birth certificate in a timely manner, avoiding the frustration of delays or the need for re-submission.

Documents used along the form

When requesting a certified copy of a birth certificate through the Tennessee Department of Health using the TN State PH1654 form, there are several other documents and forms that are often used alongside it to ensure accurate and comprehensive processing of one’s needs. Below is a list of these additional documents, crafted to give a clearer understanding of each.

  • Application for Social Security Card (Form SS-5): Used to apply for an original, replacement, or corrected Social Security card. This form requires information that can be found on a birth certificate.
  • Passport Application Form (DS-11): Required when applying for a U.S. passport for the first time. It often requires submission of a certified birth certificate as proof of U.S. citizenship.
  • Form I-9, Employment Eligibility Verification: Employers use this form to verify the identity and employment authorization of individuals hired for employment in the United States. A birth certificate can serve as proof of identity and citizenship.
  • Driver’s License Application Form: While the specific form varies by state, all states require proof of identity, age, and residency, for which a certified birth certificate is useful.
  • Marriage License Application: Couples planning to wed often need to provide a certified copy of their birth certificates to obtain a marriage license, depending on the state’s requirements.
  • Application for Voluntary Acknowledgment of Paternity: Used by unmarried parents to acknowledge paternity of a child, often requiring a certified copy of the child’s birth certificate for processing.
  • Application for Government Benefits: Forms related to Medicaid, Social Security benefits, or other government assistance programs often require a certified birth certificate to establish eligibility.
  • Request for Amendment of Birth Record: To change information on a birth certificate, this form is submitted alongside documentation supporting the requested correction or amendment.

Understanding and preparing the necessary accompanying documents can streamline the process of obtaining a certified birth certificate or addressing related legal and official matters. Knowing what to expect and what is expected can help avoid delays, making encounters with bureaucratic processes smoother and more efficient.

Similar forms

The Application for a Marriage Certificate is one document that shares similarities with the TN State PH1654 form. Both forms are used to apply for vital records from a state's Department of Health or the equivalent agency. They require the applicant's personal details, specifics about the event (birth or marriage), and information on the other parties involved, such as a spouse or parents. Moreover, both forms have a section for the purpose of the request and necessitate a fee to be paid along with the submission of the application.

Likewise, the Application for a Death Certificate resembles the TN State PH1654 form because it is another type of request to a state's department responsible for vital records. This form requires the deceased's personal details, similar to how the birth certificate application needs the newborn's details. In addition, information regarding the applicant's relation to the deceased and the reason for requesting the certificate is needed, alongside a processing fee.

An Application for Divorce Records also shares similarities with the TN State PH1654 form. Both forms are used to obtain official documentation from state records, requiring the applicant to fill in personal details and specific information related to the event – for the divorce record, this would be details of the marriage and divorce. Furthermore, these applications mandate stating the purpose for which the record is needed and typically require a fee.

The Request for Adoption Records form can be likened to the TN State PH1654 form because it deals with obtaining official records, in this case, pertaining to adoption. Applicants must provide detailed information about the adoption, including the date and place, similar to how birth information is provided for the birth certificate application. Both forms also include a section for applicant details and the reason for the request, as well as a fee to process the application.

The Application for Change of Name Certificate is another document related to the TN State PH1654 form. When a person legally changes their name, this form is necessary to obtain a new certificate reflecting the change, akin to how an amended birth certificate might be needed after adoption. Both applications call for detailed personal information, the specifics of the event (birth or name change), the purpose for the request, and a fee.

The Application for a Passport or Passport Card often requires the submission of a certified birth certificate, making it indirectly similar to the TN State PH1654 application form. To apply for a passport, one must provide various personal documents, including proof of birth in the United States, which often entails submitting a form similar to the PH1654 to obtain a certified copy of a birth certificate. Additionally, both applications require personal information, evidence of identity, and respective fees.

The Voter Registration form, while not a direct application for a vital record, necessitates proof of identity and citizenship, often satisfied by presenting a birth certificate obtained through a form like the TN State PH1654. Similar to how vital records applications require personal and event-specific details, voter registration forms also require personal identification details and evidence of eligibility, along with the individual’s signature.

Finally, the School Enrollment forms for children often require a certified copy of a birth certificate, linking them to the TN State PH1654 form. Parents or guardians must provide proof of the child's age and citizenship, making the birth certificate an essential document for the process. Like the PH1654 form, school enrollment documents gather personal details, information specific to the child, and sometimes, details about the parents or guardians, in addition to requiring various documents for identification purposes.

Dos and Don'ts

When filling out the Tennessee State PH1654 form, which is an application for a certified copy of a Tennessee Certificate of Birth, there are essential dos and don'ts one must follow. These steps ensure the application process is smooth and compliant, avoiding unnecessary delays or rejections.

Do:
  • Ensure all information provided on the form matches the details on the original birth certificate or legal documents in cases of name changes.
  • Include the correct fee of $15.00 for each copy requested, and an additional $5.00 for each copy of the Voluntary Acknowledgment of Paternity, if applicable.
  • Provide a copy of a valid government-issued ID that shows your signature to verify your identity, as required for processing.
  • Fill out every section of the form to prevent delays; incomplete applications are often returned or take longer to process.
  • Check the box appropriately if the name has ever been changed, other than by marriage, and provide the original name.
  • Include a contact telephone number and email address where you can be reached should there be questions or a need for additional information.
  • Send a check or money order payable to Tennessee Vital Records; avoid sending cash through mail to prevent loss or theft.
  • Print clearly and legibly to avoid any misunderstandings or misinterpretation of the details you provide.
Don't:
  • Leave any sections blank; if a section does not apply, indicate with N/A (Not Applicable) instead of leaving it empty.
  • Attempt to submit the application without a notarization or a copy of a valid government-issued ID.
  • Send cash in the mail as payment; this increases the risk of theft and may result in your application being returned.
  • Forget to sign the application; an unsigned application is invalid and will be returned.
  • Overlook inaccuracies in the information you provide; ensure all details are correct to avoid delays in processing.
  • Ignore the requirement to include your relationship to the individual on the birth certificate, as it is crucial for processing the request.
  • Fail to check whether the record is beyond 100 years old; such records are maintained at the TN State Library and Archives, not with the Office of Vital Records.
  • Assume the fee is refundable; the search fee is non-refundable, even if the record is not found.

Misconceptions

When it comes to obtaining vital records, particularly the Tennessee Certificate of Birth via the TN State PH1654 form, misconceptions abound. It’s crucial to dispel these myths for anyone needing to navigate this process smoothly.

  • Myth 1: It’s acceptable to send cash for the application fee. Actually, sending cash through mail is discouraged for security reasons. The form clearly instructs applicants to enclose a check or money order payable to Tennessee Vital Records.

  • Myth 2: You can obtain a birth certificate for any period. This is not entirely true. While the office holds records for the past 100 years, records over 100 years old are housed at the TN State Library and Archives.

  • Myth 3: The application does not need to be notarized if a copy of an ID is provided. A common misunderstanding, but in reality, providing a photocopy of a valid government-issued ID with a signature is a requirement unless the application is notarized.

  • Myth 4: You can receive a copy of a birth certificate without specifying the relationship or purpose. The form specifically requires the applicant to state their relationship to the person on the certificate and the purpose for the copy, ensuring requests are legitimate.

  • Myth 5: If the record is not found, your money will be refunded. The application fee is primarily for the search of records, which means it is non-refundable even if the record is not located.

  • Myth 6: The form can be submitted without a signature. Every application must be signed by the person making the request. This requirement is not just procedural; it's a legal necessity to process the application.

  • Myth 7: Additional copies of the birth certificate cost the same as the first. While the form clearly states the $15.00 charge per copy, some might mistakenly think this does not apply to subsequent copies. The same fee applies to each copy requested.

Understanding these key points can drastically smooth out the process of obtaining a certified copy of a birth certificate in Tennessee, making it essential to approach the application with accurate knowledge and clear expectations.

Key takeaways

When filling out and using the Tennessee State PH1654 form, which is for applying for a certified copy of a Tennessee Certificate of Birth, there are several important points to remember to ensure the process is completed successfully and efficiently.

  • Accuracy is essential: Make sure all the information provided on the application is accurate, including the full name on the birth certificate, date of birth, and place of birth. Inaccurate information can lead to delays or the inability to locate the record.
  • Fee per copy: There is a fee of $15.00 for each copy of the birth certificate you request. If you also need a copy of the Voluntary Acknowledgment of Paternity, it’s an additional $5.00 when purchased with the certified copy of the birth certificate. Ensure you enclose the correct amount with your application.
  • Documentation of name changes: If the name on the birth certificate has been changed for reasons other than marriage, documentation of the original name and the change may be required. Be prepared to provide this if applicable.
  • Identification requirement: A photocopy of a valid government-issued ID with a signature must accompany the application unless the application is notarized. This is crucial for the verification of the requester’s identity.
  • Non-refundable search fee: The $15.00 fee includes the search of records to locate the birth certificate. It's important to note that this fee is non-refundable, even if the record cannot be found.
  • Processing time: If you have not received a response within 45 days of submission, you should contact Tennessee Vital Records for an update. This helps in ensuring that your request is being processed and provides an opportunity to clarify any issues that might have arisen.

By following these key points, individuals can navigate the process of requesting a certified copy of a birth certificate in Tennessee with greater ease and clarity.

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