Who can complete this application?

If the birth attendant who signed the certificate is unavailable, a parent or the individual, if age 18 or older, may complete it and provide satisfactory documentary evidence.

Do I need a notary for the Application for Correction of Birth Certificate?

No. The form has no notary block; the applicant signs and affirms under penalties of perjury that the statements are true and correct.

How do I submit the Application for Correction of Birth Certificate?

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

Nyack, NY · Rockland County

No notary required

Application for Correction of Birth Certificate

This application lets an eligible applicant request correction of an error or addition of information to a birth certificate.

What this form is

Use this application to request correction of an error or addition of information that was unavailable when a birth certificate was filed; it cannot be used to change a name. The form asks for the incorrect and requested information, the reason, details identifying the birth record, supporting documentary evidence, and the applicant’s signature and relationship to the infant. The instructions explain who may complete it and when evidence is required.

Who needs it

A birth attendant, parent, or person age 18 or older may use it to request an eligible correction or addition, with documentary evidence when required.

How to submit it

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

About notarization

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

How to submit this form

1
Download the Application
Download the Application for Correction of Birth Certificate.
2
Complete the Form
Identify the birth record, describe the error or omission, provide the requested correction, and explain the reason.
3
Gather Supporting Evidence
When required, include satisfactory documentary evidence from an authoritative source, such as a hospital, church, school, or census record.
4
Submit the Application
For expedited service, return it to the local registrar where the birth occurred, or mail it to the address in the instructions.

Frequently asked questions

What is the Application for Correction of Birth Certificate used for?: It requests correction of an error or addition of information that was unavailable when the birth certificate was filed. The instructions say it cannot be used to change a name.
Who can complete this application?: If the birth attendant who signed the certificate is unavailable, a parent or the individual, if age 18 or older, may complete it and provide satisfactory documentary evidence.
Do I need a notary for the Application for Correction of Birth Certificate?: No. The form has no notary block; the applicant signs and affirms under penalties of perjury that the statements are true and correct.
How do I submit the Application for Correction of Birth Certificate?: For expedited service, return it to the local registrar where the birth occurred, or mail it to the Correction Unit, Vital Records Section, P.O. Box 2602, Albany, NY 12220-2602.

Need something notarized?

This Application for Correction of Birth Certificate doesn’t need a notary — but if you have another Nyack form that does, a commissioned online notary can help.