INSTRUCTIONS: REQUEST FOR PRE-ADOPTION OR OTHER BIRTH CERTIFICATE FROM AN ALABAMA SEALED FILE (Form ADPH-HS 95)

Those born in Alabama who are 19 or older may request a copy of their birth certificate mailed in a file sealed by the state if it was removed due to adoption, legitimation or paternity determinations. This is done by filing a form ADPH-HS 95. This document can be obtained from the website maintained by the Alabama Department of Public Health.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 1: The first page contains information about the process of filing this form and what kind of copies you will receive.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 2: On the first blank line, enter your first, middle and last name as it appears on the birth certificate.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 3: On the second blank line, enter your date of birth.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 4: On the third blank line, enter your sex.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 5: On the fourth blank line, enter the county of birth.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 6: On the fifth blank line, enter the hospital of birth.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 7: On the sixth blank line, enter the full maiden name of the mother as it currently appears on the certificate.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 8: On the seventh blank line, enter the full name of the father as it currently appears on the certificate.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 9: Enter your signature and date on the next two blank lines.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 10: Print your name and give your daytime phone number on the next two lines.

Request For Pre-Adoption Or Birth Certificate From An Alabama Sealed File ADPH-HS 95 Step 11: Give your address, city, state and zip code on the last four blank lines.