Tennessee Application to Amend a Birth Record (PH-1186)
Official state formCorrections and amendmentsForm PH-1186Free downloadLast verified November 10, 2026
Sworn application to correct information on a Tennessee birth record, such as a misspelled name or a wrong date. It is signed in front of a notary and mailed with supporting documents to the Tennessee Office of Vital Records.
Who can use this form
- The registrant, if at least 18 years old.
- A parent listed on the birth record.
- A legal guardian, who must provide a copy of the guardianship papers.
- Not for adding or removing a father, a complete change of last name, court ordered changes, or filing a delayed certificate of birth.
What to send with it
- The completed form, signed in front of a notary public.
- Supporting documents from the form's list, such as a school record, medical record, or a parent's birth or death certificate. A child not named at birth who is under one year old needs only the parents' affidavit.
- A certified court order if the last name is being changed.
- The $15.00 amendment fee. A certified long form copy after the amendment costs an extra $15.00, and additional copies are $15.00 each.
Where to send it
- Mail to
- TN Vital Records 1st Floor Andrew Johnson Tower 710 James Robertson Parkway Nashville, TN 37243
- State fee
- $15.00 amendment fee, as printed on the form. A certified long form copy after the amendment is an extra $15.00; additional copies are $15.00 each.
- Typical processing
- Not provided
- Form revision
- Rev. 9/2017 (the first page footer prints Rev. 4/2017)
- Source
- Official government page