New York State Department of Health - Vital Records (birth) · New York state form

DOH-51 Supplemental Report of Given Name

Use DOH-51 to add a given name to a New York birth certificate when the name was omitted from the original filing.

What this form is

DOH-51 is used only to add a given name to a birth certificate when it was omitted at the time the certificate was originally filed. The individual must complete and sign the form if at least 18; a parent must sign for a minor child. The form cannot be used to change a child's gender or correct other errors.

Who needs it

An individual age 18 or older, or a parent of a child under 18, may use this form to add an omitted given name.

Why it needs a notary

The form includes a sworn statement and notary signature line, so the signature must be notarized; this can be done online with a commissioned online notary.

How to submit it

Complete and sign the form, then return it to the Correction Unit, P.O. Box 2602, Albany, NY 12220-2602. A $30 check or money order is requested only for a certified copy.