*** Effective June 18, 2022 the Amendment Request Portal (ARP) will be used to create the Court Report of Adoption (VS 44) Form ***
āāVital Records, Data and Statistics Forms
For more information on amending vital records, please go to Correcting or Amending Vital Records.
VS 12, 13 E (PDF) - Application for Certified Copy of Fetal Death Record or Still Birth Record
VS 12, 13 E SP (PDF) - Application for Certified Copy of Fetal Death Record or Still Birth Record
VS 20 (PDF) - Sworn Statement
VS 20 SP (PDF) - Sworn Statement
VS 21 (PDF) - Application to Amend a Birth Record-Adjudication of Facts of Parentage | Sample (PDF)
VS 22 (PDF) - Acknowledgement of Paternity/Parentage | Sample (PDF)
VS 23 (PDF) - Amendment of Birth Record to Reflect Court Order Change of Name
VS 24 (PDF) - Affidavit to Amend a Record | Sample (PDF)
VS 24 A (PDF) - Physician/Coroner's Amendment
VS 24 C (PDF)- Affidavit to Amend a Marriage Record | Sample (PDF)
VS 44 (WEB FORM) - Court Report of Adoption | Sample (PDF) | VS 44 (PDF) | ARP Instruction Presentation (PDF)
VS 85 (PDF) - Delayed Registration of Birth
VS 105 (PDF) - Court Ordered Delayed Registration of Fetal Death
VS 107 (PDF) - Supplemental Name Report-Birth
VS 108 (PDF) - Court Order Delayed Registration of Birth | Sample (PDF)
VS 109 (PDF) - Court Ordered Delayed Registration of Death | Sample (PDF)
VS 111 (PDF) - Application for Certified Copy of Birth Record
VS 111 SP (PDF) - Application for Certified Copy of Birth Record
VS 112 (PDF) - Application for Certified Copy of Death Record
VS 112 SP (PDF) - Application for Certified Copy of Death Record
VS 113 A (PDF) - Application for Certified Copy of Marriage Record
VS 113 A SP (PDF) - Application for Certified Copy of Marriage Record
VS 113 B (PDF) - Application for Certified Copy of Divorce Record
VS 113 B SP (PDF) - Application for Certified Copy of Divorce Record
VS 122 (PDF) - Court Ordered Delayed Certificate of Marriage | Sample (PDF)
VS 124 (PDF) - Power of Attorney-California Marriage License
VS 140 (PDF) - Request Vital Records Forms
VS 146 (PDF) - Application for Tabulated California Vital Records Data
VS 147 (PDF) - Application for CDPH Programs Surveillance Use Only
VS 148 (PDF) - CDPH Program Request for OSHPD Data
CDPH 9051 (PDF) - California Integrated Vital Records System Account Registration Form
CDPH 9052 (PDF) - California Integrated Vital Records System Account Modification Request