Georgia Department of Public Health - State Office of Vital Records (birth records: affidavits, paternity acknowledgment) · Georgia state form

Affidavit for Amendment Form 3977

Form 3977 requests a correction or amendment to a birth, stillbirth/fetal death, or death record. The registrant, parent, or legal representative completes the form.

What this form is

Use Affidavit for Amendment Form 3977 to request a correction to a birth, stillbirth/fetal death, or death record. The form asks for the record details, the item in error, and the information that should appear. The applicant signs under oath, and the form requires notarization. Submit supporting evidence; the instructions state that Form 3977 should not be used to establish paternity.

Who needs it

A registrant, parent, or legal representative requesting an amendment to a birth, stillbirth/fetal death, or death record may complete this form.

Why it needs a notary

The applicant’s signature must be notarized. This can be done online with a commissioned online notary, who signs, dates, and seals the form.

How to submit it

Mail the completed form, required evidence, a valid copy of photo ID, and a U.S. money order or certified check for the correct amount to the State Office of Vital Records at the address on the form.