List of Available CA State Forms

 

 

VS111

State Application for Birth Certificate

VS112

State Application for Death Certificate     

VS12

State Application for Fetal Death Certificate     

VS13

State Application for Still Birth Certificate     

VS 21 

Adjudication of Facts of Parentage

VS 22 

Acknowledgement of Paternity/Parentage

VS 23 

Amendment of Birth Record To Reflect Court Order Change of Name

VS 24

Affidavit to Amend a Record—Birth, Death, and Fetal Death

VS 24A

Physician/Coroner’s Amendment

VS 44 

Court Report of Adoption (e-version only)

VS 85

Delayed Registration of Birth

VS 105

Court Order Delayed Registration of Fetal Death

VS 107

Supplemental Name Report—Birth

VS 108

Court Order Delayed Registration of Birth

VS 109

Court Order Delayed Registration of Death

VS 136

Certificate of Finding of Unknown Child or Safely Surrendered Child

N/A

Declaration of Paternity Form

 

To request one or more of the forms above, please contact the Office of Vital Records of the county where you were born in or mail a request to:

CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
Office of Vital Records - MS 5103
P.O.Box 997410
Sacramento, CA 95899-7410
Phone: (916) 445.2684