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Oregon · Birth

Oregon Affidavit to Amend an Original Birth Record Prior to Adoption if Parent Is Living

Official state formAdoptionFree downloadLast verified November 10, 2026

A living biological parent completes this notarized affidavit to state that they are the parent left off the adoptee's original birth record. It is sent to Oregon Vital Records with the adoptee's application to amend the original record.

Who can use this form

  • The biological parent who is to be added to the original record
  • The parent signs before a notary

What to send with it

  • The notarized affidavit
  • Send it with the Application in Support of Amending an Original Record of Live Birth Prior to Adoption

Where to send it

Mail to
See the form for where to file it.
State fee
Not provided
Typical processing
Not provided
Form revision
05/26
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Oregon Affidavit to Amend an Original Birth Record Prior to Adoption if Parent Is Living | Oregon Form