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Click ‘Get Form’ to open the VS-170 application in the editor.
Begin by entering the child's full name as it appears on the original birth certificate. If the name is not shown, write 'NOT SHOWN'.
Fill in the date of birth, place of birth, and sex of the child. If you have the state file number, include that as well.
Provide the full names of both parents, including the mother's maiden name.
In Part II, list any items on the original birth certificate that need correction. Clearly identify what needs to be corrected and provide the correct information.
Ensure that Part III is signed by an attending physician or an older blood relative in front of a Notary Public.
Review all entered information for accuracy before submitting your application along with payment and supporting documents.
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