floridahealth.gov Application for Correction in Birth Certificate : Florida Department of Health

Name of the Organization : Florida Department of Health
Type of Facility : Application for Correction in Birth Certificate
State : Florida
Country : United States of America

Website : http://www.floridahealth.gov/certificates/certificates/amendments-corrections/index.html
Application Form : https://www.statusin.org/uploads/24074-Birthcorrection.pdf
Download Instruction : https://www.statusin.org/uploads/24074-Instructions.pdf

Application for Correction in Birth Certificate :

No Supporting Documentary Evidence Required For The Following Items :
** Hour of birth, parent(s) age or date of birth, residence, mailing address, social security numbers;
** Misspelling or transposition of letters;

Related : Florida Department of Health Obtaining Birth Certificate : www.statusin.org/8015.html

** Adding given name(s) of registrant up to the registrant’s seventh (7th) birthday;
** Amending name(s) of registrant up to the registrant’s first (1st) birthday.

** After 1 year from the date of birth, a change to a registrant’s name (other than a correction which can be support by documentary evidence) will be processed upon receipt of a legal change of name issued from a court of competent jurisdiction;

** Adding of given name(s) of parent(s);
** Sex, if item was left blank, or if sex as recorded is clearly in conflict with given names as recorded at the time of birth;
** Date of birth up to 10 days within the same calendar year but not later than file date;
** Mother’s maiden name if married surname was originally recorded; or
** Parent(s) state or country of birth except a change from foreign country to the United States

1. Complete the green form Application for Amended Birth Certificate, DH Form 429.
2. Complete the white form Affidavit of Amendment to Certificate of Live Birth, DH Form 430
3. To amend any of the above items, mail both the application and notarized affidavit with a check or money order

Made payable to :
Bureau of Vital Statistics,
P. O. Box 210, Jacksonville,
Florida 32231-0042,
ATTN: Correction Unit

Correction Of The Following Items Requires Documentary Evidence In Addition To Items 1 – 3 Above :
** Adding given name(s) of registrant after the registrant’s seventh (7th) birthday;
** Correcting name of the registrant after the registrant’s first (1st) birthday;
** Sex of the child, if it does not met criteria contained in section above;
** Date of birth more than 10 days but less than one (1) year provided that the requested change is not in conflict with the filing date of the birth certificate;
** Year of birth provided that the requested change is not in conflict with the filing date of the birth certificate;
** Place of birth;
** Name of attendant.

Documentation To Include :
(1) Name of Child
(2) Name of Parent
(3) Sex of Child
(4) Date of Birth
(5) Place of Birth
(6) Date Document Originally Established
** Documents submitted must be the original or a certified/notarized copy.
** Any foreign language document must be accompanied by a certified English translation.
** Court Order;
** Medical record or statement based on established records from a hospital, licensed physician, licensed midwife, or
a public health nurse employed by the department;
** Vital Records of parent(s) or sibling(s), where appropriate;
** School Record;
** Military Record;
** Census Record;
** Social Security Application; (print-out/numident)
** Insurance Application; or
** Voter Registration Record.
** Other records that are verifiable and contain the required facts and support the amendment being requested may be substituted for the suggested documents.