Where do I download the Texas Designation
To Obtain a Vital Record authorization form?
If you need to order a Texas birth certificate replacement or order a Texas death certificate certified copy you will need to download and complete below Texas DSHS Designation To Obtain a Vital Record VS – 140.4 authorization form and then sign and get it properly notarized by a U.S notary public.
If you use a regular local notary that you have to physically appear in front of to sign your document you must MAIL the document to us. Texas Vital Records no longer accept scanned copies of this document as of December 1, 2022.
We recommend you hire a USA online/virtual/e-notary to electronically notarize the Designation To Obtain a Vital Records form via a webcam conferencing call. If you use e-notary services you can email the form to us thus avoiding having to mail the original form or any other documents to us.
The three other required documents that you can email to us are our order form, a valid copy of your government ID, and a prepaid FedEx or UPS return shipping label so we can mail your new certified birth or death certificate copy back to you.