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Georgia Affidavit for Amendment of a Birth Certificate (Form 3977)

Official state formCorrections and amendmentsForm Form 3977Free downloadLast verified November 10, 2026

Notarized affidavit to amend a Georgia birth certificate more than one year after the birth, such as a name, date of birth, parent information, sex or the mother's address. It goes to the State Office of Vital Records with supporting evidence.

Who can use this form

  • The person named on the birth certificate
  • A parent
  • A legal representative
  • The form states that it should not be used to establish paternity

What to send with it

  • Completed form, front and back, signed before a notary public
  • Documentary evidence: certified copies, or statements on letterhead signed by the official who keeps the record. Uncertified copies are not accepted
  • A court order to change a surname. A name change with an intersex or transgender diagnosis needs a court order plus a physician's statement on letterhead with an original signature
  • To amend the sex: a record at least five years old that shows the name, sex and age or date of birth
  • Copy of a valid photo ID
  • U.S. money order or certified check payable to the State Office of Vital Records (no cash by mail)

Where to send it

Mail to
State Office of Vital Records 1680 Phoenix Blvd., Suite 100 Atlanta, GA 30349
State fee
$10.00 amendment fee, not refundable, which does not include copies. Certified copies are $25.00 and $5.00 for each additional copy bought at the same time.
Typical processing
Mail-in requests to the State Office are processed and shipped within 10 weeks, according to the office's order-by-mail page.
Form revision
REVISED 09/2018
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Georgia Affidavit for Amendment of a Birth Certificate (Form 3977) | Georgia Form