Wisconsin Report of Order for Birth Record Changes Following Surrogate Birth (F-05032)
Official state formParentage and paternityForm F-05032Free downloadLast verified November 14, 2026
Report of a court order that changes a birth record after a surrogate birth. The clerk of court or deputy completes the court part and sends the sealed report to the Wisconsin State Vital Records Office.
Who can use this form
- Intended parents who have a court order about the birth record after a surrogate birth.
- The clerk of court or deputy certifies the report and seals it.
- The form says the clerk of court or deputy will send the completed, signed and sealed report to the State Vital Records Office.
What to send with it
- The completed, signed and sealed report, which the clerk sends to the office.
- A check or money order payable to State of Wis. Vital Records.
- The mailing address for the certified copy of the new birth certificate.
- Fees listed on the form: $20 to file, $10 to file an amendment, $20 for one certified copy of the new birth record and $3 for each additional copy.
Where to send it
- Mail to
- State Vital Records Office ATTN: PSSU PO Box 309 Madison, WI 53701-0309
- State fee
- Filing $20; amendment $10; one certified copy of the new birth record $20; each additional copy $3. All as printed on the form.
- Typical processing
- Not provided
- Form revision
- Rev. 05/2021
- Source
- Official government page