California Department of Public Health - Vital Records · California state form
VS 23 SP Court Order Name Change Birth Record Amendment Application
Use this California Department of Public Health application to request an amendment to a California birth record reflecting a court-ordered name change.
- What this form is
- VS 23 SP is the Spanish-language application for amending a California birth record after a court-ordered name change. Applicants provide information from the existing birth record, details of the court order, the new name, and a signed certification. The form instructions require a certified copy of the court order. If requesting a copy of the amended record, include a notarized sworn statement, form VS 20.
- Who needs it
- A person seeking to amend a California birth record to reflect a name change granted by a court or the Hawaii Lieutenant Governor’s Office needs this application.
- Why it needs a notary
- The VS 23 application has no notary block, so its signature does not need notarization. If requesting an amended record copy, the instructions require a separate notarized sworn statement, form VS 20.
- How to submit it
- Complete the application, include a certified copy of the court order and payment by check or money order payable to CDPH - Vital Records, and mail the package to the address listed on the form.
Questions
What is VS 23 SP used for?
It is used to request an amendment to a California birth record reflecting a name change granted by court order or the Hawaii Lieutenant Governor’s Office.
Does the VS 23 SP application need to be notarized?
No. The VS 23 application does not contain a notary block. If requesting a copy of the amended record, the instructions require a separate notarized sworn statement, form VS 20.
What must be sent with the application?
The instructions call for a completed application, a certified copy of the court order, and a check or money order payable to CDPH - Vital Records. Mail the package to the address printed on the form.