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Minnesota Request to Amend Marital Status on a Birth Record

Official state formCorrections and amendmentsFree downloadLast verified November 12, 2026

Form for both birth parents to change the marital status on their child's Minnesota birth record. Mail it, signed by both before a notary, to the Minnesota Department of Health, Office of Vital Records.

Who can use this form

  • Both birth parents named on the child's birth record.
  • Both parents must sign in front of a notary public.

What to send with it

  • The completed form, signed by both parents in front of a notary public.
  • Unmarried parents must also send a completed Recognition of Parentage form to add the father to the birth record, signed by both before a notary.
  • The office returns incomplete requests or ones not signed before a notary.

Where to send it

Mail to
Minnesota Department of Health Office of Vital Records PO Box 64499 St. Paul, MN 55164-0499
State fee
Not provided
Typical processing
Not provided
Form revision
1/2021
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Minnesota Request to Amend Marital Status on a Birth Record