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VS-20

The VS-20 form is a sworn statement that you are authorized to receive a copy of the birth certificate once it's amended. This form must be notarized before it's sent to the CDPH. You can learn more about that on the next page.

  • Above Applicant's Printed Name, write your new legal name (the one you want to change to).
  • Under Registrant, write your new legal name (the one you want to change to).
  • Under Applicant's Relationship to Registrant, write "Self".
  • Leave everything else blank. You will need to complete the rest in the presence of a Notary Public.

Example

Here's what your form should look like once it's finished (Everything I added is in red for emphasis. Use black when you're filling your form out):

VS20.webp

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