Pennsylvania Department of Health - Vital Records · Pennsylvania state form
HD002291 Preadolescent Child Birth Record Modification Request (Spanish)
Spanish-language application to request changes to a child’s Pennsylvania birth record when the child is 7 to less than 14 years old.
- What this form is
- Form HD002291 is a Spanish-language application to modify a birth record for a child aged 7 to less than 14. It collects the applicant’s contact information, identification details, payment or fee-waiver information, the current record details, and the requested changes. Required supporting documents depend on the change requested. Parents listed on the record generally must sign Part 6 before a notary.
- Who needs it
- A parent or other eligible person seeking to modify a Pennsylvania birth record for a child aged 7 to less than 14.
- Why it needs a notary
- Part 6 must be signed in the presence of a notary. This can be done online with a commissioned online notary.
- How to submit it
- Complete the form, include the required identification, payment or applicable fee-waiver information, and supporting documents. Mail it to the Birth Registry at the address shown on the form.
Questions
Who can use form HD002291?
The form is for requesting a modification to a birth record for a child aged 7 to less than 14. It cannot be used for an adoption-related modification or a change in parentage.
Does form HD002291 need to be notarized?
Yes. Part 6 says it must be signed in the presence of a notary. You can complete this step online with a commissioned online notary.
Where do I mail the completed application?
The form directs applicants to mail it to the Pennsylvania Department of Health, Bureau of Health Statistics and Registries, Attention: Birth Registry, at the address printed on the form.