Department of Health
215 State Street
Hackensack, New Jersey 07601
Tel: 201 646-3965
Fax: 201 646-3989
9:00 am to 4:00 pm Monday - Friday
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Vital Record Application
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Vital Record Application
Requires Microsoft Word Installed
Fees and Payment: Effective 1/10/05, the fee for a certified copy of a record is $15.00 for one copy and $10.00 for each additional copy of the same record purchased at this time. Money orders must be made payable to the City of Hackensack. Requests on personal checks delay mailing by 30 days
Vital Record Application Instructions
Hackensack maintains records of births, marriages and deaths that have occurred in Hackensack. If you are looking for a vital record for an event that did not occur in Hackensack, go to the CDC web site here. If you need a record for an event that did occur in Hackensack, read on. Certified copies of Hackensack vital records may be purchased by mail, over the counter in our office or through the internet at http://www.vitalchek.com. Certified copies of vital records may only be obtained by “qualified applicants.”
Hackensack Department of Health does not accept credit cards or online orders. However, for your convenience, you can process online requests through an independent company that we have partnered with to provide you this service; VitalChek Network, Inc. VitalChek can be reached through its website, www.vitalchek.com. An additional fee is charged by VitalChek for using this service, and all major credit cards are accepted, including American Express®, Discover®, MasterCard® or Visa®.
Who Are Qualified Applicants?
Births: To qualify for a certified copy of a birth record the applicant must be the subject of the record, the record subject’s parent, current spouse of the subject, child of the subject, grandchild of the subject, brother or sister of the subject, legal guardian of the subject or authorized legal representative of the subject.
Civil Unions & Marriages: To qualify for a certified copy of a civil union or marriage record the applicant must be one of the persons listed on the record, the record subject's parents, children of the subjects, grandchildren of the subjects, brother or sister of the subjects, legal guardian of the subject or authorized legal representative of the subjects.
Deaths: To qualify for a certified copy of a death record the applicant must be the surviving spouse of the subject on the record, subject’s parents, child of the subject, grandchild of the subject, brother or sister of the subject, legal guardian of the subject or authorized legal representative of the subject.
Identification: Vital record applications must be completed in full and submitted with acceptable identification. A government issued photo ID is preferred. Identification must include the address of the applicant. Mail requests will only be sent to a shipping address that is the same as the address that is listed on the identification presented. Two forms of identification will be accepted in lieu of a government issued photo identification with address. Both forms must show the applicants address, which must be the same as the return address for mail requests. Examples of acceptable non-photo identification are non-photo driver’s license, motor vehicle registration card, motor vehicle insurance card, voter registration card, utility bills, or county identification card, Please note that in instances where the applicant’s relationship to the subject of the record is not demonstrated by information on the record being requested, additional documentation of that relationship, such as a certified copy of a certificate of marriage, is required and should be submitted with the application. All documents used for identification must be current and not expired. If bills are used, they should not be more than 90 days old. Identifications purchased from private non-governmental companies are not acceptable for vital record transactions.
Application: Application forms are available at our office and on our web site. All applicable sections of the application must be fully completed. Complete the section of the application form that applies to the type of record that you are requesting. When entering names, it is important that you include exact information, full dates and full and complete legal names. Middle names must be completely spelled out, with no use of initials.
Fees and Payment: The fee for a certified copy of a record is $15.00 for one copy and $10.00 for each additional copy of the same record purchased at this time. Money orders must be made payable to the City of Hackensack. Requests on personal checks delay mailing by 30 days.