Wisconsin Report of Court Order to Correct Facts Misrepresented by Informant for a Birth Record (F-05098)
Official state formCorrections and amendmentsForm F-05098Free downloadLast verified November 14, 2026
Reports a court order that corrects birth facts the informant misrepresented. The form is completed by the court in the county of birth, then returned to the Wisconsin State Vital Records Office with evidence and the fee.
Who can use this form
- A person with a direct and tangible interest in the birth record, who files a petition for correction with the court.
- The informant or petitioner must be the parent listed on, and who signed, the birth worksheet. A signed statement from that parent that the information was misrepresented is required.
- The clerk of court completes and seals Part IV in the county where the birth occurred.
What to send with it
- The completed, signed and sealed form.
- The supporting evidence that was given to the court.
- A check or money order payable to State of Wis. Vital Records.
- Fees listed on the form: $20 to file, $20 for one certified copy of the amended 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; one certified copy of the amended 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