Minnesota Request to Add Mother's Marital Status to a Birth Record
Official state formCorrections and amendmentsFree downloadLast verified November 12, 2026
Form for a mother to change the marital status on her child's Minnesota birth record from UNKNOWN to married or unmarried. Mail it, signed before a notary, to the Minnesota Department of Health, Office of Vital Records.
Who can use this form
- The mother of the child named on the birth record.
- Only when her marital status shows as UNKNOWN on the birth record.
What to send with it
- The completed form, signed in front of a notary public.
- Mail it to the Office of Vital Records at the address on the form.
Where to send it
- Mail to
- Minnesota Department of Health Office of Vital Records PO Box 64499 St. Paul, MN 55164-0499
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- 01/2021
- Source
- Official government page