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Nevada Application for a Correction of a Birth Record

Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026

Three-page packet to correct a Nevada birth record: the application, the notarized Affidavit for Correction of a Record and the Supplemental Affidavit. It is mailed to the Office of Vital Records and Statistics, Attn: Corrections.

Who can use this form

  • The affidavit is signed by the person of record, or his or her parent, guardian or legal representative
  • Medical information (date of birth, time of birth and facility name) must be completed by the medical certifier
  • The Supplemental Affidavit is completed by a different person who has personal knowledge of the correction
  • The signer should be at least 18. A minor's signature also needs a parent or legal guardian signature

What to send with it

  • Completed application (page 1)
  • Notarized Affidavit for Correction of a Record, filled out completely
  • Supplemental Affidavit from a different person. A court order may replace the affidavit and the supplemental affidavit
  • Copy of the photo identification of the person signing the affidavit
  • Payment payable to the Office of Vital Records. Do not send cash
  • No white-out, erasures or cross-outs on any document

Where to send it

Mail to
Office of Vital Records and Statistics Attn: Corrections 4150 Technology Way, Suite 104 Carson City, Nevada 89706
State fee
$45.00 per person of record, which includes the correction and one certified copy. $25.00 for each additional copy.
Typical processing
Not provided
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Nevada Application for a Correction of a Birth Record | Nevada Form