Form vs 24 2026

1. Click ‘Get Form’ to open it in the editor.
2. In the upper right-hand corner, enter the Local Registration Number as required.
3. Complete Part I by filling in Items 1A to 7 with information exactly as it appears on the original record.
4. In Part II, Item 8, list the certificate item number(s) that need correction, ensuring one item per line.
5. For Item 9, write down the incorrect information from the original certificate.
6. In Item 10, provide the corrected information for each item listed in Item 9.
7. State your reason for correction in Item 11.
8. Ensure two individuals sign the affidavit statement at the bottom of the form.
9. Do not fill out Items 14 and 15; these are reserved for State or Local Registrar use only.
10. Submit your completed form along with any required fees to the California Department of Public Health - Vital Records.

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