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Center for Health Statistics and informatics

​​Birth, Death, Fetal Death, Still Birth, Divorce Record and Marriage Certificate Forms

 

VS 12 - Application for Certified Copy of Fetal Death Record

VS 13 E - Application for Certified Copy of Certificate of Still Birth

VS 21 - Application to Amend a Birth Record-Adjudication of Facts of Parentage

VS 22 - Acknowledgement of Paternity/Parentage

VS 23 - Amendment of Birth Record to Reflect Court Order Change of Name

VS 24 - Affidavit to Amend a Record

VS 24 A - Physician/Coroner's Amendment

VS 24 C- Affidavit to Amend a Marriage Record

VS 44 - Court Report of Adoption

VS 85 - Delayed Registration of Birth

VS 105 - Court Ordered Delayed Registration of Fetal Death

VS 107 - Supplemental Name Report-Birth

VS 108 - Court Order Delayed Registration of Birth

VS 109 - Court Ordered Delayed Registration of Death

VS 111 - Application for Certified Copy of Birth Record

VS 112 - Application for Certified Copy of Death Record

VS 113 A - Application for Certified Copy of Marriage Record

VS 113 B - Application for Certified Copy of Divorce Record

VS 122 - Court Ordered Delayed Certificate of Marriage

VS 124 - Power of Attorney-California Marriage License

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