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Ohio Affidavit for Correction of Birth Record (HEA 2727)

Official state formCorrections and amendmentsForm HEA 2727Free downloadLast verified November 10, 2026

Notarized affidavit used to correct or add items on an Ohio birth record. The person signing swears to the correct facts. The form comes from the Ohio Department of Health, Office of Vital Statistics.

Who can use this form

  • To add or correct the first or middle name of a person age 18 or older: the person whose record is being corrected signs the affidavit.
  • To add or correct the first or middle name of a person under 18: both parents sign, if both are listed on the birth certificate.
  • To correct any other item: a person who has personal knowledge of the facts.
  • The signer states their relationship to the child, such as Self, Mother or Brother.

What to send with it

  • The affidavit typed or printed in ink and signed in ink, with no erasures, cross outs or correction fluid.
  • The top section filled in exactly as the birth record reads, including the child's name, date of birth and place of birth.
  • Each item to be corrected or added and how it should read.
  • The signature, date of birth, current address and relationship of each person swearing to the facts.
  • The notary's signature and the date the notary's commission expires.

Where to send it

Mail to
See the form for where to file it.
State fee
Not provided
Typical processing
Not provided
Form revision
Rev. 1/97
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Ohio Affidavit for Correction of Birth Record (HEA 2727) | Ohio Form