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DATE OF EVENT MM/DD/CCYY 1C. LAST 4. CITY OF EVENT 6. FULL NAME OF PARENT AS STATED ON ORIGINAL RECORD 5. COUNTY OF EVENT STATEMENT OF CORRECTIONS TO BIRTH DEATH OR FETAL DEATH RECORD 8. ITEM NUMBER TO BE CORRECTED 9. INCORRECT INFORMATION THAT APPEARS ON ORIGINAL RECORD 10. CORRECTED INFORMATION AS IT SHOULD APPEAR LIST ONE ITEM PER LINE REASON FOR CORRECTION We the undersigned hereby certify under penalty of perjury that we have personal knowledge of the above facts and that the information g ...
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Corrections are made by completing an Affidavit to Amend a Marriage Record (VS 24C). This form becomes a part of the original recordtype or print clearly in black ink only. Your certified copy will include a copy of the original certificate with a copy of this form attached.
$26 amendment fee and includes one free copy of newly amended record.
CHANGES TO CAUSE OF DEATH If additional medical information or autopsy findings become available that would change the cause of death originally reported, the original death certificate should be amended by the docHubing physician by immediately reporting the revised cause of death to the State Vital Records Office.
Requests for Amendments CDPH-VRs average time to process an amendment request is 10 to 12 weeks EXCEPT for Court Report of Adoptions.
You may contact CDPH-VR Customer Service Unit by email at AmendVR@cdph.ca.gov or telephone at (916) 445-2684.

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Pursuant to California Health and Safety Code Section 103526 only specific individuals are permitted to obtain an authorized certified copy of a birth record.**Notice Regarding Vital Record Fee Increase** CertificateCurrent FeeNew Fee 1/1/2022Birth Certificate$32$36Death Certificate$25$281 more row Jul 11, 2022
You can open a parentage case with the Court. Once the legal parents are established by the Court, follow the procedure on the State Dept. of Public Health website to request that the birth certificate be amended to include the fathers name. You and the other parent can sign a Voluntary Declaration of Parentage .
​Fee. $26 amendment fee and includes one free copy of newly amended record.
$26 amendment fee and includes one free copy of newly amended record.
Call the Customer Service Unit at (916) 445-2684. You can also get the form from the County Recorder or County Health Department in any California county.

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FORM VS 24 (REV. Photocopies of the amendment form will be rejected. This form becomes a part of the original record type or print clearly in

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