Get State Of Illinois Affidavit And Certificate Of Correction Request

This guide provides a comprehensive, step-by-step approach to completing the State Of Illinois Affidavit And Certificate Of Correction Request online. Whether you are correcting a birth or death record, this guide is designed to support you throughout the process.

Follow the steps to complete your affidavit and certificate of correction request.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Clearly print all information using a black pen or type your responses directly into the form. Ensure that all entries are legible and accurate.
3. Indicate the record you wish to correct by placing a check mark next to the corresponding option (e.g., Birth, Stillbirth/Fetal Death, Death).
4. Identify your current legal name. This is the name you were using at the time the record was created, including any changes due to marriage, court orders, or naturalization.
5. Provide your prior name before any marriages or civil unions. This should reflect your name as given at birth or your maiden name.
6. State your relationship to the individual named on the record (e.g., mother, son, self, etc.). This helps clarify your role in the correction process.
7. Detail what information needs correction by specifying both how it reads currently and how it should read on the document. Ensure each item for correction is listed clearly.
8. Complete your current address, ensuring to include your street address, city, state, and ZIP code.
9. Submit the form in the presence of a notary public, which can typically be found at banks or currency exchanges for a minimal fee.
10. Prepare the required documents to submit with your request. This includes the original affidavit, a payment of $15 made payable to IDPH, a copy of a non-expired government-issued photo ID, and any other relevant documentation needed for the correction.
11. Finally, return all documents to the Illinois Department of Public Health at the specified address and retain copies for your records.

Start completing your affidavit and certificate of correction request online today.