West Virginia
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Genealogy
About the HSC
Contact Information
Vital Registration
Room 165 350 Capitol Street
Charleston, WV 25301-3701
Phone:304-558-2931
Location
Publications
Certificates
Forms
Statistics & Trivia
Special Data Requests
Genealogy
About the HSC
Contact Information
Vital Registration
Room 165 350 Capitol Street
Charleston, WV 25301-3701
Phone:304-558-2931
Location
The HSC offices are located in the Diamond Building at 350 Capitol Street
in downtown Charleston. Below are two maps in PDF format showing the Diamond
Building location. Map 1 is of the general Charleston area and Map 2 is more
detailed of the downtown area and gives street traffic flow (one way/two
way) designations.
| Map 1 | Map 2 |
Vital Registration Forms
| Certificate Request Forms | |||
| Form Name | Purpose | Formats | |
| Birth Form | Request state certified copy of a Birth Certificate | PDF, HTML | |
| Death Form | Request a state certified copy of a Death Certificate | PDF, HTML | |
| Marriage Form | Request a state certified copy of a Marriage Certificate | PDF, HTML | |
| Heirloom Form | Request an Heirloom certificate which comes with one state certified copy of a birth certificate | ||
| Corrections/Amendments Forms | |||
| Form Name | Purpose | Formats | |
| Affidavit to Correct Birth | Used to Correct Mistakes on an Adult's Birth Certificate | PDF, DOC | |
| Affidavit to Correct a Minor Child's Birth | Used to Correct Mistakes on Children's Birth Certificates (under age of 18) | PDF,DOC | |
| Affidavit to Correct Death | Used to Correct mistakes on the Non-medical section of a Death Certificate | ||
| Other Forms | |||
| Form Name | Purpose | Formats | |
| Supply Request Form | (For Hospitals, Nursing Homes, County Clerks, etc.)Request Supplies from Vital Registration | ||
| Hospital Report of Births and Deaths | Reports all births and deaths that occur in a facility per month to Vital Registration | ||
| Permission Slip Form | Used to by parents to grant permission to another person to obtain a copy of their child's birth certificate. | ||
Page was last updated on Friday, October 31, 2008 8:31 AM
The Health Statistics Center is a Division of:
The West Virginia Department of Health and Human Resources DHHR
Bureau for Public Health BPH
Office of Epidemiology and Health Promotion OEHP
This page was last updated 1/9/2009.