Malone, NY · Franklin County

No notary required

Birth Record Correction Form

This application requests a correction or addition to an infant’s birth record and is completed by the birth attendant, parent, or eligible individual.

What this form is

Use this form to request correction of an error or addition of information that was unavailable when an infant’s birth certificate was filed. The applicant identifies the birth record, describes what is wrong and what should appear instead, explains the reason, and provides supporting documentary evidence when required. The form cannot be used to change names.

Who needs it

A birth attendant who signed the original certificate, or when unavailable a parent or individual age 18 or older, may complete this correction request.

How to submit it

For expedited service, return the form to the local registrar where the birth occurred, or send it to the Correction Unit, Vital Records Section, P.O. Box 2602, Albany, NY 12220-2602.

About notarization

This document is signed without a notary; the applicant affirms under penalties of perjury that the statements are true and correct, then signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Birth Record Correction Form PDF.

  2. 2

    Complete The Request

    Identify the birth record, describe the item in error and the correct information, and explain the reason for the correction or omission.

  3. 3

    Gather Supporting Evidence

    Include satisfactory documentary evidence when required to support the correct information.

  4. 4

    Sign And Submit

    Sign and date the application, then return it to the local registrar where the birth occurred or mail it to the Correction Unit in Albany.

Frequently asked questions

Do I need a notary for the Birth Record Correction Form?
No. The applicant signs and dates the form and affirms under penalties of perjury that the statements are true and correct; no notary is required.
Who can complete a birth record correction request?
The physician or other attendant who signed the original certificate should complete it. If that person is unavailable, a parent or an individual age 18 or older may complete it.
What supporting documents should I include?
When required, include satisfactory documentary evidence supporting the correction, such as a hospital, church or synagogue, school, state census, or federal census record made near the date of birth.
How do I submit the Birth Record Correction Form?
For expedited service, return it to the local registrar where the birth occurred. Alternatively, mail it to the Correction Unit, Vital Records Section, P.O. Box 2602, Albany, NY 12220-2602.

Need something notarized?

This Birth Record Correction Form doesn’t need a notary — but if you have another Malone form that does, a commissioned online notary can help.