Petition for Original Birth Certificate

OBC = Original Birth Certificate * Denotes Required
Please give us your vote - this information will be used for Ky Adoption Reform only. Also remember to Register

I Support release of the OBC to an adult adoptee at age 21*
First Name:*
Last Name:*
State: *
Zip Code:*
Email: *
Retype Email: *

Area Code:
Phone: example: 555-1212
I Am: *
If you are an Adoptee, adopted parent, birth parent or member of the birth family- Was the adoption or birth of the adoptee in Ky?*

Are you a reigistered Voter? *
Thank you for
your support