Lima, NY · Livingston County
Affidavit for Correction of Marriage Record
This affidavit asks the New York State Department of Health to correct a marriage record and is completed by the husband and wife named on the record.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The affidavit identifies the errors in a marriage record, states the correct information, and lists supporting documentation. The form instructions direct the spouses to submit the signed affidavit and required documentation to the New York State Department of Health Vital Records Section. For corrections involving a spouse’s death or divorce, the instructions call for a certified copy of the death or divorce record.
Who needs it
The husband and wife named on a marriage record generally complete this affidavit when requesting a correction, subject to the form’s exceptions for divorce or death.
How to get this notarized
- 1
Download the Affidavit
Get the Affidavit for Correction of Marriage Record and review its instructions.
- 2
Fill In the Form
Enter the spouses’ information, marriage details, exact errors, corrections, and supporting documentation.
- 3
Book an Online Notary
Arrange a remote notarization for the required sworn signatures.
- 4
Sign on Video
Both spouses sign before the notary, except in the divorce or death cases described in the instructions.
- 5
Submit to the State
Mail the affidavit and supporting documents to the New York State Department of Health Vital Records Section.
Preview the form
The blank PDF straight from Lima. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit this marriage record correction affidavit?
- Complete the affidavit, gather the supporting documents required for your correction, and mail both to the New York State Department of Health Vital Records Section at the address in the instructions.
- Do I need both spouses to sign before a notary?
- The instructions say both husband and wife must sign in a notary’s presence, except in cases of divorce or death, when certified documentation must be submitted.
- Can I sign this affidavit with a commissioned online notary?
- New York authorizes remote online notarization for its own notaries under Executive Law §135-c. The form also says an affidavit notarized outside New York State must include a Certificate of Authenticity; confirm your situation before signing.
- What supporting documents should I include?
- The instructions specify documents based on the correction requested, including birth records for certain personal details and documentation from the officiant for marriage date or place changes. Confirm with the city, town or village if unsure.
Other forms in Lima
Affidavit for Correction of Marriage Record in other New York cities
Each city publishes its own version of this form. Pick the city where you’re filing.