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Get Ca Vs 24 2020-2026

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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How to fill out the CA VS 24 online

The CA VS 24 form is designed for individuals seeking to amend a birth, death, or fetal death record. This guide provides a step-by-step approach for completing the form online, ensuring accuracy and compliance with requirements.

Follow the steps to fill out the CA VS 24 online efficiently.

  1. Click ‘Get Form’ button to obtain the form and access it in the editor.
  2. Begin by completing Part I with the information as it appears on the current record. This includes entering the first, middle, and last names as well as the sex, date, city, and county of the event.
  3. In Part II, specify the item number that needs to be corrected in Item 8, ensuring to list one item per line.
  4. For Item 9, provide the incorrect information that appears on the current record. In Item 10, enter the corrected information as it should appear.
  5. State the reason for the correction in Item 11, providing a clear explanation.
  6. Ensure that two individuals sign the form in the affidavit section with their printed names, titles or relationships to the person listed, addresses, and dates signed.
  7. Finally, review all completed information for accuracy. Save changes, download the form, print it, or share it as required before submission.

Complete your documentation online and ensure your records are accurate today.

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