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West Virginia Affidavit to Correct Birth Certificate

Official state formCorrections and amendmentsFree downloadLast verified November 10, 2026

Notarized affidavit to correct or add items on a West Virginia birth certificate. It goes to the Corrections Unit of the Vital Registration Office.

Who can use this form

  • The person whose birth certificate is to be corrected
  • A parent signs if the person is under 18

What to send with it

  • Notarized affidavit
  • At least two original documents (per the office's web page) established 5 or more years before the application or within 7 years of the birth, showing the full correct name and date of birth or age
  • $10 amendment fee by check or money order payable to Vital Registration
  • Certified copy order and $12 per copy if you want a new copy

Where to send it

Mail to
Attn: Corrections Unit Vital Registration Office PO Box 11012 Charleston, WV 25339-1012
State fee
$10.00 amendment fee (no fee for amendments within the first year after the event); each certified copy $12
Typical processing
Not provided
Form revision
Revised 07.31.2002
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West Virginia Affidavit to Correct Birth Certificate | West Virginia Form