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Nebraska Birth Certificate Amendment Application (HHS-81)

Official state formCorrections and amendmentsForm HHS-81Free downloadLast verified November 10, 2026

Application to correct or add items on a filed Nebraska birth certificate, including adding the father. Mail it to the Nebraska Vital Records office.

Who can use this form

  • One of the parents
  • The registrant, if of legal age
  • The person responsible for filing the certificate

What to send with it

  • Application signed in front of a notary
  • Documentary evidence: 1 item if within the first year, 2 or more after one year (originals or certified copies; no affidavits of personal recollection)
  • Photocopy of the applicant's current photo ID
  • Fee and a self-addressed business-size envelope

Where to send it

Mail to
Vital Records Office P.O. Box 95065 Lincoln, NE 68509-5065
State fee
$16.00 to correct the record; $17.00 per certified copy of the amended record
Typical processing
Not provided
Form revision
4/16 (page 1); 6/14 (instructions page)
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Nebraska Birth Certificate Amendment Application (HHS-81) | Nebraska Form