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Florida Application for Amendment to a Birth Certificate (DH 429)

Official state formCorrections and amendmentsForm DH 429Free downloadLast verified November 10, 2026

Cover application and fee sheet for any change to a Florida birth record: correction, legal name change, adoption or paternity. It is sent with the matching affidavit or court document to the Bureau of Vital Statistics Records Amendment Section.

Who can use this form

  • The person named on the record, if 18 or older
  • A parent or guardian
  • The legal representative of one of these people
  • A person with a court order

What to send with it

  • Completed application with the type of amendment checked
  • Copy of valid photo ID (front and back)
  • Proof of eligibility, if required
  • The matching affidavit or court document (DH 430, DH 432, a court order or other)
  • Check or money order payable to Vital Statistics

Where to send it

Mail to
FLORIDA DEPARTMENT OF HEALTH BUREAU OF VITAL STATISTICS ATTN: RECORDS AMENDMENT SECTION P.O. BOX 210 JACKSONVILLE, FL 32231-0042
State fee
$20.00 amendment fee (non-refundable, includes one certificate); $9.00 for the first additional certificate; $4.00 for each other additional certificate; $14.00 for each release of an established paternity acknowledgment; optional $10 rush fee; $1.00 shipping and handling.
Typical processing
Generally two to three weeks. Rush orders get priority.
Form revision
3/2020
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Florida Application for Amendment to a Birth Certificate (DH 429) | Florida Form