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Office of Vital Statistics
Office of Vital Statistics

List of Available CA State Forms

“The form must be printed on 8 ½ x 11 paper using black ink only.
It must also be printed using full-scale.
Forms printed in other colors or formats will be rejected



State Application for Birth Certificate


State Application for Death Certificate     


State Application for Fetal Death Certificate     


State Application for Still Birth Certificate     

VS 21 

Adjudication of Facts of Parentage

VS 22 

Acknowledgement of Paternity/Parentage

VS 23 

Amendment of Birth Record To Reflect Court Order Change of Name

VS 24

Affidavit to Amend a Record—Birth, Death, and Fetal Death

VS 24A

Physician/Coroner’s Amendment

VS 44 

Court Report of Adoption (e-version only)

VS 85

Delayed Registration of Birth

VS 105

Court Order Delayed Registration of Fetal Death

VS 107

Supplemental Name Report—Birth

VS 108

Court Order Delayed Registration of Birth

VS 109

Court Order Delayed Registration of Death

VS 136

Certificate of Finding of Unknown Child or Safely Surrendered Child


Affidavit of Homeless Status for fee exempt copy of Birth Certificate

CS 909

Declaration of Paternity Form


To request one or more of the forms above, please contact the Office of Vital Records of the county where you were born in or mail a request to:

Office of Vital Records - MS 5103
P.O.Box 997410
Sacramento, CA 95899-7410
Phone: (916) 445.2684



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Office of Vital Statistics, 1947 Center Street 2nd.Floor, Berkeley, CA 94704
Questions or comments? Email: Phone: (510) 981-5320
(510) 981-CITY/2489 or 311 from any landline in Berkeley
TTY: (510) 981-6903