Arizona Affidavit to Correct or Amend a Birth Certificate (VS-41)
Official state formCorrections and amendmentsForm VS-41Free downloadLast verified November 10, 2026
Notarized affidavit that lists the information as the Arizona birth record reads now and the correction or amendment wanted. It goes to the Bureau of Vital Records or to a county vital records office, depending on the record.
Who can use this form
- The registrant, if at least 18, or emancipated with a certified court order or certified marriage certificate.
- The mother or parent, or the father or parent.
- A custodian or guardian, who must present a valid certified custody or guardianship court order.
- The form is not for adoptions or for adding paternity through an Acknowledgment of Paternity.
What to send with it
- The affidavit, signed in the presence of a notary. Any alteration makes the affidavit invalid.
- The application, Request for Copy of Birth Certificate (VS-11).
- An evidentiary document or a certified court order, depending on the item to change and the person's age (see the chart on page 1 of the form).
- Any court order must be certified by the court where it was finalized.
- The office's web page also asks for a copy of the front and back of an ID, the fee and a self-addressed stamped envelope.
- The affidavit prints no address. The office's web page says the state office (PO Box 6018, Phoenix, AZ 85005) handles births before 1997, foreign-born and delayed records, and parent role and sex or gender amendments; county offices handle births from 1997 to the present.
Where to send it
- Mail to
- See the form for where to file it.
- State fee
- $30.00 to amend or correct information in a registered birth certificate, according to the office's fee schedule. The affidavit itself prints no fee.
- Typical processing
- Not provided
- Form revision
- Revised 04/06/2026
- Source
- Official government page