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Minnesota Request for Summary of Birth Record Changes

Official state formOther requestsFree downloadLast verified November 12, 2026

Request for a summary of the amendments, replacements and corrections made to a Minnesota birth record. Mail it, signed before a notary, to the Minnesota Department of Health, Office of Vital Records.

Who can use this form

  • The subject of the birth record.
  • A parent of the subject whose name appears on the birth record.

What to send with it

  • The completed form, signed in front of a notary public.
  • Payment, not cash.

Where to send it

Mail to
Minnesota Department of Health Office of Vital Records PO Box 64499 St. Paul, MN 55164-0499 Courier/express delivery: 625 Robert St. N, St. Paul, MN 55155 (no vital-records counter service at this location) Fax: 866-416-1357 (credit card payments only)
State fee
$9 for the summary. Faster processing is $20 and express delivery is $21. As printed on the form.
Typical processing
Not provided
Form revision
11/2024
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Minnesota Request for Summary of Birth Record Changes