California Department of Public Health - Vital Records · California state form

VS 21 Amendment of Parentage Application

Use the VS 21 application to add, remove, or replace a parent on a California birth certificate. Supporting parentage documents and signatures depend on the requested change.

What this form is

The California Department of Public Health’s VS 21 application is used to add, remove, or replace a parent listed on a California birth certificate. Applicants complete the form with information matching the current birth record and provide new parent information, required signatures, and supporting documents. Depending on the circumstances, documentation may include a certified Voluntary Declaration of Parentage or court order. The packet also calls for a completed notarized sworn statement.

Who needs it

People seeking to add, remove, or replace a parent on a California birth certificate use this application and provide the required supporting documentation.

Why it needs a notary

The packet requires a completed notarized sworn statement. The signature on that statement must be notarized; this can be done online with a commissioned online notary.

How to submit it

Mail the completed application, required documents, payment, and completed notarized sworn statement to CDPH – Vital Records, MS 5105, P.O. Box 997410, Sacramento, CA 95899-7410.