Application for Service Forms

Check Before You Send

Confirm that you are permitted to file an Application for Service (PDF: 425 KB).
Complete all relevant sections of the form. All requests with incomplete information must be accompanied by a written explanation of the omission. If any portion of the relevant event information is left blank, the application will be returned for completion.
Attach a photocopy of your legal birth certificate. (A baptismal certification is not acceptable.)
Enclose the $50.00 application fee - cheque or money order in Canadian funds payable to Newfoundland Exchequer account.

Instructions

Place the application form, a photocopy of your legal birth certificate (a baptismal certificate is not acceptable) and the required fee in a mailing envelope (grey envelopes preferred). Send to the address provided below.

Application Form and Envelope Downloads

Application for Service (PDF: 425 KB)
Mailing Envelope (Optional: These downloads are provided for your convenience.)
- #10 Envelope 4.122 x 9.5" (PDF: 105 KB)
- #9 Envelope 3.874 x 8.87" (PDF: 105 KB)

Mailing Address

CONFIDENTIAL SERVICES
VITAL STATISTICS DIVISION
DEPARTMENT OF GOVERNMENT SERVICES
PO BOX 8700
5 MEWS PLACE
ST. JOHN'S NL A1B 4J6

False Statements

Under the Adoption Act, it is an offence to make a statement that the person knows to be false or misleading in an application, or in connection with an application, for a copy of a birth registration or other record from the Vital Statistics Division, or for filing a disclosure veto or a no-contact declaration.

A person who makes a false statement commits an offence and is liable on conviction to a maximum fine of up to $10,000 and/or a term of imprisonment.