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  • Ca Vs 24 2019

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CDPH - VITAL RECORDS OR LOCAL REGISTRAR 15. DATE ACCEPTED FOR REGISTRATION STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - VITAL RECORDS FORM VS 24 REV. AFFIDAVIT TO AMEND A RECORD STATE FILE NUMBER NO ERASURES WHITEOUTS PHOTOCOPIES OR ALTERATIONS BIRTH DEATH LOCAL REGISTRATION NUMBER FETAL DEATH TYPE OR PRINT CLEARLY IN BLACK INK ONLY THIS AMENDMENT BECOMES AN ACTUAL PART OF THE OFFICIAL RECORD PART I INFORMATION TO LOCATE RECORD 1A. NAME FIRST AS IT APPEARS ON ORIGINAL RECORD 2. SEX 1B. MIDDLE 3. DATE OF EVENT MM/DD/CCYY 1C. LAST 4. CITY OF EVENT 6. FULL NAME OF PARENT AS STATED ON ORIGINAL RECORD 5. COUNTY OF EVENT STATEMENT OF CORRECTIONS TO BIRTH DEATH OR FETAL DEATH RECORD 8. ITEM NUMBER TO BE CORRECTED 9. INCORRECT INFORMATION THAT APPEARS ON ORIGINAL RECORD 10. CORRECTED INFORMATION AS IT SHOULD APPEAR LIST ONE ITEM PER LINE REASON FOR CORRECTION We the undersigned hereby certify under penalty of perjury that we have personal knowledge of the above facts and that the informat....

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
CA VS 24
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