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Application for Vital Records

  1. A certificate of a vital record event is issued to those individuals with a distant or no relationship to the individual(s) listed on the vital record It is issued for informational purposes only and cannot be used for legal or identification purposes.

  2. A certified copy of a vital record event is issued to those individuals who have a direct link to the individual(s) named on the vital record event as identified in Governor McGreevey's Executive Order 18. Provided that the requestor is able to identify the vital record and can provide proof of his identity and relationship. A certified copy will contain the raised Great Seal of the State of New Jersey and can be used for legal or identification purposes.

  3. Proof of identity is required for this form.

    Please make checks or money orders payable to Edgewater Board of Health. The fee is $15.

  4. Proof may be required.

  5. Why Is the Record Being Requested? *

  6. Birth Certificate

  7. Do not use this form to request a certified copy of a certificate of birth resulting in stillbirth. Use form REG-68 which is available online from the stateof New Jersey.

  8. Marriage or Civil Union

  9. Please Choose 1

  10. Domestic Partnership

  11. Death Certificate

  12. Note:

    Births occurring over 80 years ago, marriages occurring over 50 years ago and deaths occurring over 40 years ago are considered genealogical and therefore exact information is not required. You may provide only the name of the individual recorded on the vital record, the county where the event occurred and the year that the event occurred. Multiple years may be searched at a fee of $1 per additional year.

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