District of Columbia Amendment to Add a Name (Registrant Not Named)
Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026
Use this form to add a name to a DC birth record when the child was never named. The name is shown with documents such as school records or a baptism certificate.
Who can use this form
- A parent or both parents
- For an adult registrant, another applicant who certifies why a parent cannot sign (deceased, incapacitated, unavailable or unknown)
What to send with it
- Completed form with a notarized signature
- Copies of three IDs, at least one of them a primary ID
- Supporting documents for the change
- Payment, which is requested after the form is approved
Where to send it
- Mail to
- DC Health Vital Records Division Customer Service and Certification Operations Unit 2201 Shannon Pl. SE, 1st Floor Washington, DC 20020
- State fee
- $23 amendment fee + $23 per certificate copy (printed on the form)
- Typical processing
- Amendment decisions take 10 to 15 business days (office's Important Notices page)
- Form revision
- Revised 02/10/2021
- Source
- Official government page