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

Affidavit for Current Year Correction

Use this affidavit to request a current-year correction to a birth, stillbirth/fetal death, or death record, or to add a spouse.

What this form is
This affidavit is for requesting a current-year correction to a birth, stillbirth/fetal death, or death record, or for adding a spouse. It asks for information about the record, the applicant, the requested changes, and the signatures of the affiant or affiants. The form includes a notary section for acknowledgment, signature, date, commission expiration, identification details, and seal.
Who needs it
A person requesting a current-year correction to a birth, stillbirth/fetal death, or death record, or adding a spouse, may need this affidavit.
Why it needs a notary
The affidavit must be acknowledged before a notary and include the notary’s signature, date, term expiration, and seal. A commissioned online notary can notarize it online.
How to submit it
The form directs correspondence to the State Office of Vital Records at 1680 Phoenix Blvd., Suite 100, Atlanta, GA 30349.

Questions

Does this affidavit need to be notarized?

Yes. The form has a notary acknowledgment section requiring a notary’s signature and date, term expiration, identification details, and seal. A commissioned online notary can notarize it online.

What records can this affidavit address?

The form lets an applicant request a correction to a birth, stillbirth/fetal death, or death record, or select the option for adding a spouse. It requests information about the record and the changes sought.

Where does the form direct correspondence?

The form directs correspondence to the State Office of Vital Records at 1680 Phoenix Blvd., Suite 100, Atlanta, GA 30349. It also lists the office’s phone number.