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The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.

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Commemorative Certificates

Florida Dept. of Health, Bureau of Vital Statistics

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The Bureau of Vital Statistics is Proudly PHAB Accredited

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How to order a Florida Commemorative Birth Certificate 

A commemorative certificate is signed by the current Governor and the State Registrar of the Bureau of Vital Statistics. The certificate is suitable for framing and preserving as a family heirloom. A Commemorative certificate is not acceptable for official purposes.

Please note limited births were recorded between 1850 and 1917. Time of Birth was not collected on birth events between 1949-1969.

To view samples of our commemorative certificates, click on the links below;

Commemorative Birth Sample

Who can request a commemorative birth certificate?

Births less than 125 years old are confidential and may only be issued to:

  • Registrant (name on the record) if of legal age (18)
  • Parent(s) listed on the Birth Record
  • Legal guardian (must provide guardianship papers)
  • Legal representative of one of the above persons (must provide documentation)
  • By Court Order (must provide copy of court order)
  • Upon receipt of registrant’s death record, a commemorative birth certificate marked “Deceased” on the back may be issued to the spouse, child, grandchild, or sibling, if of legal age.


If applicant is not one of the above, the application must be accompanied with a notarized Affidavit to Release a Birth Certificate (DH Form 1958) signed by one of the above, along with any supporting documentation and a copy of valid photo ID of both the person authorizing release and the applicant.

Ordering a Commemorative Birth Certificate

Any person who willfully and knowingly provides any false information on a certificate, record or report required by Chapter 382, Florida Statutes, or on an application or affidavit, or who obtains confidential information from any Vital Record under false or fraudulent purposes, commits a felony of the third degree, punishable as provided in Chapter 775, Florida Statutes.


The Bureau of Vital Statistics may be reached at (904) 359-6900, ext. 9000. Download and complete the form to mail in your request.

DH 726C Application for Commemorative Birth Certificate (pdf 123K)

Fees:    A 9.00 search fee is included in all orders and is NON-REFUNDABLE. If no record is found a certified “No Record Found” statement will be issued.

$34First commemorative certificate (includes one computer-generated certification)
$25Additional commemorative certificates
$4Additional computer-generated certifications
$1Shipping and Handlinig Fee
Walk-in:  1217 N Pearl Street, Jacksonville, FL 32202
Lobby hours: M-F 8:00 a.m. – 4:30 p.m.
Same day service is not available for commemorative certificates. Walk-in payments may be made in the form of cash, check, money order, Visa, and Mastercard. 

Mail-in:  Florida Bureau of Vital Statistics, P.O. Box 210, Jacksonville, Fl 32231-0042

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

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