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Kansas Amendment Request Form for a Birth Record

Official state formCorrections and amendmentsFree downloadLast verified November 12, 2026

Notarized request to correct information on a Kansas birth record. It is mailed with original certified documents to the Amendment Unit of the Kansas Office of Vital Statistics.

Who can use this form

  • You, if you are 18 or older, for your own record.
  • A parent, for a minor child's record. Both parents sign.
  • A legal guardian, who must provide legal documentation.
  • The form says the request can only be made for yourself, your minor child or a person under your legal guardianship.

What to send with it

  • Page 1 completed and signed in front of a notary public. A form with corrections or alterations is rejected.
  • Original certified supporting documents. The form says photocopies cannot be accepted. The documents needed depend on the record, the item and whether it is for a minor or an adult.
  • Payment made payable to Kansas Vital Statistics.
  • Mail everything to the Amendment Unit.

Where to send it

Mail to
Kansas OVS Attn: Amendment Unit 1000 SW Jackson, Ste. 120 Topeka, KS 66612
State fee
$40.00 covers the file fee and one certified copy, as printed on the form. Additional certified copies are $20.00 each.
Typical processing
Not provided
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Kansas Amendment Request Form for a Birth Record | Free PDF