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Vermont · Birth

Vermont Application to Correct or Amend a Birth Certificate

Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026

Use this form to correct or complete a Vermont birth certificate within 6 months of birth, or to amend it later with evidence. It is mailed to the Vital Records office in Waterbury.

Who can use this form

  • The person named on the certificate.
  • The parent or parents, or the guardian or guardians.
  • The hospital where the birth occurred.
  • The certifying attendant.

What to send with it

  • The completed application.
  • For an amendment, the reason and the supporting evidence.
  • For a name change after 6 months, a certified court order. Within 6 months, both parents sign.
  • To add the other parent, a Voluntary Acknowledgment of Parentage or a court order.

Where to send it

Mail to
Vermont Department of Health Vital Records 280 State Drive Waterbury, VT 05671-8370
State fee
Not provided
Typical processing
Not provided
Form revision
April 2026
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Vermont Application to Correct or Amend a Birth Certificate | Vermont Form