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Virginia Birth Certificate Amendment Request Form (VS43)

Official state formCorrections and amendmentsForm VS43Free downloadLast verified November 10, 2026

This form asks the Virginia Office of Vital Records for instructions on how to amend or correct a birth certificate. It does not make the change by itself. It is mailed to the office's Special Services unit in Richmond.

Who can use this form

  • The person named on the certificate, a parent, adult child, current spouse, adult sister or brother, or a maternal or paternal grandparent.
  • A legal guardian, who must submit the custody paper.
  • Another person, who must specify the relationship on the form.
  • Use one form for each birth record.

What to send with it

  • The completed and signed form. Unsigned forms are not processed.
  • A copy of the birth certificate.
  • If no birth certificate can be provided: an Application for Certification of a Birth Record, the $15.00 certification fee and a copy of the requester's identification.

Where to send it

Mail to
Office of Vital Records Attn: Special Services P. O. Box 1000 Richmond, VA 23218-1000
State fee
The form prints only a $15.00 certification fee, due when no copy of the birth certificate is enclosed. The office's amendment page lists a $10.00 administration fee for any change, or $25.00 in total with a copy of the amended certificate ($15.00 certificate plus $10.00 administration).
Typical processing
Not provided
Form revision
7/26
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Virginia Birth Certificate Amendment Request Form (VS43) | Virginia Form