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VITAL RECORDS

Adjudication of Facts of Parentage

Changes to parentage on a birth certificate require an Adjudication of Facts of Parentage VS 21 (PDF) form and a court order.  The adjudication order is issued by the court and must:

  • Instruct CDPH-VR to remove an existing parent on the birth certificate
  • Identify the parent that should be listed on the certificate
  • Include the child’s full name, date, and place of birth as stated on the original birth certificate
  • List the full new name of the child, (if being changed)

For further information please see the informational pamphlet Adjudication of Facts of Parentage (PDF) and checklist.

An Acknowledgement of Paternity/Parentage is utilized when adding a parent to a blank space on the birth certificate.  Both parents must be available to sign the VS 22 (PDF) form.


Supporting Documents

Supporting documents are used to support the information being amended.  Acceptable documents include copies of the following:

  • Certified copy of court orders
  • Vital Records (birth, death, marriage)
  • All other documents that support the request for the amendment

A certified court order is required when submitting an Adjudication of Facts of Parentage.


Certified Court Order

A “certified” copy of the court order must be a copy of the order that was originally prepared by the court.  It cannot be an original printout.  The photocopy you receive from the court must have all of the following:

  • An original court seal
  • A signature (or signature stamp) of the judge
  • A signature (or signature stamp) of the court clerk


Certificate Fees

  • Adjudication of Facts of Parentage requires a twenty-three dollar ($23) processing 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 Adjudication of Facts of Parentage 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 are allowed on the VS 21 form
  • This form will assist in creating the new birth certificate


Helpful Links

Informational Pamphlet Adjudication of Facts of Parentage (PDF) and checklist

Adjudication of Facts of Parentage VS 21 (PDF) form


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

Acknowledgement of Paternity 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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