Edit a Birth Certificate

Use the forms below to change a birth record.  Do not use these forms to change a person's birth record due to an adoption.  After updating a record, we will send an updated birth certificate at your request.

If you have an older birth certificate, it might have a "correction form." Now, these "Request to Modify" forms replace it. Requests on the old form are no longer accepted. To change a parent on a birth record, use this form.

Select the correct form based on the age of the person:

• Request to Modify an Infant's Birth Record (Age Less Than 1 Year Old)
• Request to Modify a Child's Birth Record (Age 1 Year to Less Than 7 Years Old)
• Request to Modify a Child's Birth Record (Age 7 Years to Less Than 14 Years Old)
• Request to Modify a Child's Birth Record (Age 14 Years to Less Than 18 Years Old)
• Request to Modify an Adult's Birth Record (Age 18 Years Old and Above)

Then, mail the form, your ID, payment, and evidence to:

PA Department of Health
Bureau of Health Statistics and Registries
ATTN: Birth Registry
555 Walnut Street, 6th Floor 
Harrisburg, PA 17101-1934

To speed up your application, follow these tips:

• Fill out Part 1 completely.
• Include an acceptable ID as in Part 2.
• Add payment if needed in Part 3.
• Fill out Part 4 with the person's name exactly as on their birth certificate.
• Only complete relevant sections in Part 5.
• Sign and notarize the form as in Part 6.
• Include proper evidence as in Part 7.

Note that requirements for Parts 1, 6, and 7 vary by form and the person's age. Ensure your form matches the age.