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DEPARTMENT OF HEALTH SERVICESSTATE OF WISCONSINDivision of Public Health F05091 (Rev. 11/2015)Wis. Stat. ch. 69 Page 1 of 2COURT ORDER TO AMEND A WISCONSIN BIRTH CERTIFICATE This is a two page form.

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How to fill out the F-05091 (Rev online)

This guide provides detailed instructions on how to fill out the F-05091 (Rev) form, which is used to amend a Wisconsin birth certificate. Follow these steps to ensure accurate and successful completion of the document.

Follow the steps to accurately complete the F-05091 (Rev) form.

  1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
  2. Begin by entering the name of the subject (child) of the birth certificate as it currently appears on the document. Ensure that the spelling matches exactly with what is on the original birth certificate.
  3. Fill in the date of birth in the format MM/DD/YYYY. This should reflect the date as recorded in the original birth certificate.
  4. Provide the Wisconsin county where the birth took place. Verify the accuracy of the county name as listed on the original certificate.
  5. Enter the mother's name as it appears on the birth certificate. It is crucial to ensure correct spelling and format.
  6. Input the father's name, ensuring that it matches the name on the birth certificate.
  7. In items 1-3, list any additional evidence that supports the petition. This information is mandatory for the court to consider the amendment.
  8. On the second page, accurately state the incorrect information that needs amending, followed by the corrected details. Use capital letters for the names as specified.
  9. Complete the corresponding fee section for the amendment and any additional certified copies requested. Ensure you input correct amounts and calculations.
  10. After completing the form, review all entries for accuracy and completeness. Upon satisfaction, save your changes, and you can download, print, or share the completed form.

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We can issue all Wisconsin Birth Certificates and most Wisconsin Death Certificates....Fee Table. Birth Certificate$20.00 (fee set by State)Additional Birth or Death Certificate Copy(s)$3.00 per copy (fee set by State)6 more rows

Call VitalChek at 877-885-2981 to place an order by phone.

For 25 years, VitalChek has been an official, government-authorized service for citizens to securely order certified birth certificates and other vital records from official government agencies nationwide.

Requirements for Changing Vital Records Be a person qualified to make a change or correction. Complete the amendment form, with no cross outs, no white out, and no correction tape. Sign the application in front of a notary and get a notary seal. Provide a photocopy of acceptable ID with your mail-in application.

Contact the State of Wisconsin Vital Records office at 608-266-1373. The State will assist you with this change for a Birth record that is under 12 months old. They will provide you with an Amendment Packet for a Birth record that is over 12 months old.

A signed and notarized Wisconsin Voluntary Paternity Acknowledgment form filed with the Office of Vital Records fully establishes legal paternity. The father's name is then added to the birth certificate. Filing the VPA form does not give a father legal custody or physical placement.

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