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New Jersey Application to Amend a Birth Record (REG-15)

Official state formCorrections and amendmentsForm REG-15Free downloadLast verified November 10, 2026

Mail-in request to change or correct a New Jersey birth record. Part 2 of the form orders a certified copy of the amended record. It is mailed to the Vital Record Modifications Unit of the New Jersey Department of Health in Trenton.

Who can use this form

  • A parent, or a legal guardian if the child is under 18
  • The person named on the record, if 18 or older
  • Any other person who has the supporting document
  • The form cannot be used to add a father to a birth record. The form says the Certificate of Parentage must be used for that

What to send with it

  • The completed REG-15 (Part 1, and Part 2 if you want a certified copy)
  • A copy of documentary proof that shows the full name and date of birth, such as a school admission record, court order, baptismal record or hospital record
  • A certified court order of guardianship if a legal guardian applies
  • To correct a parent's information: the parent's birth certificate or marriage certificate
  • For Part 2: valid ID and proof of your relationship to the person on the record
  • A check or money order payable to "Treasurer, State of NJ". Do not mail cash

Where to send it

Mail to
New Jersey Department of Health Vital Statistics and Registry Attention: Vital Record Modifications Unit P.O. Box 370 Trenton, NJ 08625-0370
State fee
The form prints a $2 processing fee for a legal name change or an adoption. A certified copy of the amended record is $25 for the first copy and $2 for each additional copy. No fee is printed for other corrections. Payable to "Treasurer, State of NJ".
Typical processing
Not provided
Form revision
FEB 19
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New Jersey Application to Amend a Birth Record (REG-15) | New Jersey Form