For more information on amending vital records, please go to Correcting or Amending Vital Records and Adoptions or Changes in Paternity.
VS 12 (PDF) - Application for Certified Copy of Fetal Death Record
VS 13 E (PDF) - Application for Certified Copy of Certificate of Still Birth
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 (PDF) - Court Report of Adoption | Sample (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 112 (PDF) - Application for Certified Copy of Death Record
VS 113 A (PDF) - Application for Certified Copy of Marriage Record
VS 113 B (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 141 (PDF) - Application for California's Birth and Death Data Files for Research Use
VS 142 (PDF) - Application to Purchase California's Birth and Death Data Files for Local Health Departments
VS 143 (PDF) - Application for California's Anti-Fraud Birth and Death Files
VS 144 (PDF) - Application for California's Birth and Death Data Files for Government Agency Use
VS 145 (PDF) - Application for California's Public Use Birth and Death Files
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