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VITAL RECORDS

Acknowledgement of Facts of Paternity/Parentage

An Acknowledgement of Paternity/Parentage VS 22 (PDF) form is utilized when:

  • Adding a parent to a blank space on the original birth certificate
  • Both parents are available to sign the affidavit


Note: If a second parent is already listed on the birth certificate, or both parents are not available to sign the VS 22 form, then the Adjudication of Facts of Parentage is necessary and requires a court order.


For further information please see the informational pamphlet Acknowledgement of Paternity/Parentage (PDF) and checklist.


Supporting Documents

Supporting documents are used to support the information being amended.

When adding a parent to a birth certificate of a person born prior to January 1, 1995, no supporting documents are required other than a notarized sworn statement.

One of the following supporting documents is required for children born on or after January 1, 1995:

  • Photocopy of parent’s marriage – If the parents are married to each other
  • Declaration of Paternity (CS909) form – If the parents are not married to each other
  • Photocopy of parent’s State Registered Domestic Partnership Declaration – If the parents are in a State Registered Domestic Partnership


Sworn Statement

A notarized Sworn Statement is required if a certified authorized copy of the new certificate is requested.  For explanation of who may receive a certified authorized copy view this link.


Note: A sworn statement is not required if submitting a witnessed Declaration of Paternity (CS909) form.


Certificate Fees

  • Acknowledgement of Facts of Paternity/Parentage require a twenty-three dollar ($23) registration fee, which includes one certified copy of the new birth certificate
  • Additional certified copies are twenty-five dollars ($25) each


Processing Times

CDPH-VR processing times may occasionally increase as do the volume of requests.

Currently Birth Amendments are processed within six (6) to eight (8) weeks from the date CDPH-VR receives the request.


Helpful Tips

  • Complete all documents in black ink
  • No erasures, alterations or whiteouts allowed on the VS 22 form
  • This form will assist in creating the new birth certificate


Helpful Links

Informational Pamphlet Acknowledgement of Paternity/Parentage (PDF) and checklist

Acknowledgement of Paternity/Parentage VS 22 (PDF) form

Sworn Statement


Other Types of Amendment Forms

Birth pamphlet/form/checklist

Court Order Name Change pamphlet/form/checklist

New Birth Certificate After Sex Change Reassignment pamphlet/form/checklist

Correcting a Sex Field Error pamphlet/form/checklist

Marriage Certificates pamphlet/form/sample/checklist

Adoption Process pamphlet/form/sample/checklist

Adjudication of Facts of Parentage pamphlet/form/sample/checklist

Death and Fetal Death pamphlet/form/sample/checklist

Delayed Registration of Birth pamphlet/form/checklist

Court Order Delayed Certificate of Marriage pamphlet/form/sample

Court Order Delayed Certificate of Birth pamphlet/form/sample

Court Order Delayed Certificate of Death pamphlet/form/sample

Court Order Delayed Certificate of Fetal Death pamphlet/form

Supplemental Name Report – Birth pamphlet/form/checklist

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