Homeless Birth Certificate Waiver | South Dakota Department of Health

Provides, at no cost, a certified copy of a person's South Dakota birth certificate upon application and proof of homelessness. This is a one-time benefit. Individuals must complete and submit both the Vital Records Request form and the Affidavit of Homeless Status (must be signed in front of a notary with both required parties present) for a Certified Copy of a Birth Certificate. The standard application requirements apply and each applicant must provide applicable identification as stated on the application.

Data provided by

211 South Dakota

Physical Address

221 W. Capitol Avenue, Pierre, SD 57501

Hours

8:00am - 5:00pm (CT), Monday - Friday Website available 24 hours a day / 7 days a week

Application process

Affidavit of Homeless Status for a Certified Copy of a Birth Certificate must be signed in front of a notary public by both the individual experiencing homelessness and the Homeless Services Provider (HSP) with knowledge of the individual's housing status. An affidavit may not be accepted as proof of homelessness unless completely filled out and signed by both required parties.

Eligibility

Individuals experiencing homelessness

Agency info

South Dakota Department of Health

The South Dakota Department of Health (SD DOH) strive to promote, protect, and improvethe health of every South Dakotan with information, licensing, and more. The SD DOH has office and employees across the state that work to keep the public informed and healthy.