(1) A request for an amendment to a birth certificate made pursuant to subsection (1), of Florida Statutes § 382.016, shall be submitted with an Application for Amendment to Florida Birth Record, DH Form 429 (04/16), hereby incorporated by reference and available from the Office of Vital Statistics at www.FloridaVitalStatisticsOnline.com, from http://www.flrules.org/Gateway/reference.asp?No=Ref-07174, or from the Florida Department of Health, State Office of Vital Statistics, P.O. Box 210, Jacksonville, Florida 32231-0042, and accompanied by statutory fees required pursuant to subsection (3), of Fl. Admin. Code R. 64V-1.014, an Affidavit of Amendment to Certificate of Live Birth, DH Form 430 (04/16), hereby incorporated by reference and available from http://www.flrules.org/Gateway/reference.asp?No=Ref-07175, or from the Office of Vital Statistics at www.FloridaVitalStatisticsOnline.com, or from the Florida Department of Health, State Office of Vital Statistics, P.O. Box 210, Jacksonville, Florida 32231-0042, and documentary evidence, if required, by Fl. Admin. Code R. 64V-1.003 The required Affidavit of Amendment to Certificate of Live Birth, DH Form 430 (04/16), must be signed before a notarizing official by a registrant who is at least 18 years of age or if disability of nonage has been removed and the registrant provides proof of such removal; or if under 18, by his or her parent(s) named on the certificate or guardian or agency having legal custody of the registrant. When requesting any correction to the name of the registrant, both parents must sign the affidavit if both parents are named on the birth record.

Ask a legal question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Florida Regulations 64V-1.002

  • Affidavit: A written statement of facts confirmed by the oath of the party making it, before a notary or officer having authority to administer oaths.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
    (2) A request for an amendment to a birth certificate made pursuant to Sections 68.07(4), 382.015, and 382.016(1)(b), 742.16, F.S., requires statutory fees as prescribed in subsection (4), of Fl. Admin. Code R. 64V-1.014, however, the amendment of the birth certificate shall not be withheld if the required fee does not accompany the request. The department shall in these instances amend the birth certificate and shall so notify the attorney, parent, or registrant, if of legal age, of the fee required for processing the amendment which includes one certification of the amended certificate.
Rulemaking Authority 382.003(10), (11), 382.015(6), 382.016, 382.0255(3) FS. Law Implemented 63.152, 382.003(7), (11), 382.015, 382.016, 382.017 FS. History-New 1-1-77, Formerly 10D-49.14, Amended 10-1-88, 4-18-96, 12-26-96, Formerly 10D-49.014, Amended 11-11-98, 7-18-00, 2-29-04, 10-19-04, 5-13-08, 7-31-16.