Oregon Request to Change a Birth Certificate Based on a Court Order of Name Change
Official state formLegal name changeFree downloadLast verified November 10, 2026
Asks the Center for Health Statistics to change the name on an Oregon birth certificate after a court-ordered name change. It also shows how the new name is divided into first, middle and last names. It is mailed with a certified copy of the court order.
Who can use this form
- The person named on the birth certificate
- A parent, if the person is under age 18
What to send with it
- The signed form
- A certified copy of the court order showing the original seal and the court clerk's signature. The office keeps it in a sealed file
- The appropriate fee
Where to send it
- Mail to
- Amendment Clerk Center for Health Statistics PO Box 14050 Portland, OR 97293-0500
- State fee
- The form asks for the "appropriate fee" and prints no amount. The office's fee page lists a $35 correction or amendment fee.
- Typical processing
- Court ordered name changes: 14 weeks, per the office's processing times page (updated 11/4/2026).
- Form revision
- 04/26
- Source
- Official government page