INFORMATION AND INSTRUCTIONS FOR AMENDMENT TO BIRTH RECORD APPLICATION
Statute/Rule references may be accessed through the website address at the bottom of this form
FEES: The amendment-processing fee is nonrefundable, even if the amendment cannot be completed. In addition, it can only be
applied to this case and cannot be credited or transferred to another case.
ELIGIBILITY: Pursuant to s. 382.025, Florida Statutes, except for those births occurring over 100 years ago that are not under seal,
birth certificates are confidential and can be issued only to the registrant (the child named on the record) if of legal age (18), parent,
guardian, or a legal representative of one of these persons or by court order. Events occurring over 100 years ago not under seal are
public record and available to anyone providing fee and application.
REQUIREMENT FOR ORDERING:
If applicant is self, parent or guardian, the applicant must provide a copy of valid photo
identification. If guardian, a copy of appointment order must also be included. If legal representative, your attorney Bar ID number and the
name and a notation of whom you represent must be included with your request. If not one of the above persons, you will need to
complete and have notarized the Affidavit to Release a Birth Certificate, DH Form 1958, and submit with this Application for Amendedment
to Florida Birth Certificate, DH Form 429, or provide a court order. A release form is available from this office, most local vital statistics
offices within the county health department and our website. Website address located at bottom of this form.
TYPES OF AMENDMENTS:
A. An amendment resulting from a court ordered action:
•
Adoption
(for assistance call (904)359-6900, ext.9001)
•
Legal Name Change
(for assistance call (904)359-6900, ext.9005)
• Paternity Establishment
(for assistance call (904)359-6900, ext.9004)
B. An amendment made administratively pursuant to vital statistics law (Chapter 382, F.S) and
rule authority (Chapter 64V-1 F.A.C.)
(for assistance call (904)359-6900, ext.9005)
•
Paternity Acknowledgement
•
Correction resulting from a misspelling or typographical error or omission
•
Correction of child's name
•
Change to child's name within 1 year of birth. Note: A legal change of name issued pursuant to s. 68.07(4), Florida Statutes, is required to
change the name after the 1st birthday UNLESS supporting documentation can be provided. In regard to a legal name change, we
can only amend a Florida birth record based on a legal name change that has been granted in a Florida court
C. Putative Father:
This DH 429 form, is not used for Putative Father related issues. For more information and assistance please visit our website below
or call (904)359-6900, ext.1086.
Correction to a child's name resulting from a misspelling or a typographical error can be made at any time after the child's birth without
supporting documentation.
Omissions of child's given name(s) may be made up to the child's 7
th birthday without supporting documentation.
Corrections to a child's name (other than misspellings, typographical errors, or omissions) may be made only if documentary evidence
supporting the correction can be provided. In all cases, such changes to a minor child's name will be made ONLY if both parents named
on the birth record (if both are named) are in agreement and sign the required affidavit before a notarizing official. If both parents are not
in agreement or not available to sign, the name can only be amended by a legal change of name (court order).
See s. 64V-1.002 and .003, Florida Administrative Code, for additional information defining our authority to make corrections to a birth record.
IMPORTANT: IF A NAME HAS BEEN CHANGED PREVIOUSLY ON THE BIRTH RECORD PURSUANT TO A COURT ORDER, I.E., BY
ADOPTION, PATERNITY ACTION OR LEGAL NAME CHANGE, IT CAN ONLY BE CHANGED SUBSEQUENTLY THROUGH ANOTHER
COURT ORDER. IN REGARD TO A LEGAL NAME CHANGE, WE CAN ONLY AMEND A FLORIDA BIRTH RECORD BASED ON A
LEGAL NAME CHANGE THAT HAS BEEN GRANTED IN A FLORIDA COURT.
RESPONSE TIME:
Response time for processing an amendment varies depending upon our workload at the time your request is
received. Generally, an amendment is completed within two to three weeks. RUSH processing is available for those who need assurance
of faster service. Orders received in an envelope marked RUSH and with the $10.00 RUSH fee will be given priority over other pending
work; however, no amended certificate can be issued until all required evidence, forms, applicable fees and appropriate signatures have
been received and meet the criteria as established by law or in rules of the department.
MAIL THIS APPLICATION WITH PAYMENT TO VITAL STATISTICS,
ATTN: AMENDMENT SECTION
P.O. BOX 210
Jacksonville, FL 32231-0042
For complete text of Florida statutes
http://www.flsenate.gov/Laws/Statutes
DH 429, 06/13 (OBSOLETES PREVIOUS EDITIONS WHICH MAY NOT BE USED)
