Get GA DPH 3929 2018-2024

AMENDED CERTIFICATE OF BIRTH BY LEGITIMATION FORM 3929 REVISED 07/2017 PLEASE PRINT OR TYPE ALL INFORMATION LEGIBLY AND CORRECTLY BELOW. Section 1 INFORMATION AS SHOWN ON ORIGINAL CERTIFICATE BIRTH CERTIFICATE NUMBER DATE OF BIRTH MONTH DAY YEAR FIRST NAME OF CHILD AT BIRTH MIDDLE NAME OF CHILD AT BIRTH LAST NAME OF CHILD AT BIRTH GENERATION JR. II III ETC. If the corrections in addition to adding the father s information and changing the surname of the child are requested enter correct information in part II and provide the following a Obtain evidence to substantiate such correction b Attach evidence to the Application for an Amended Certificate of Birth by Legitimation and submit it to the State Office of Vital Records. Insert the date and place of marriage in Part III of the application. Insert the full name of the child to be shown on the amended certificate in Part III. Obtain the notarized signatures of both parents in Part III explaining to the parents that their signatures on the affidavit are a sworn statement as to the natural father of the child. Amended Certificate of Birth by Legitimation. Enter the information from the original certificate in Part 1 of the application. Obtain information for the amended certificate from the parent s and enter in Part II of the application. If the surname of the child is to be changed to show the father s surname please indicate it in Part II. If the corrections in addition to adding the father s information and changing the surname of the child are requested enter correct information in part II and provide the following a Obtain evidence to substantiate such correction b Attach evidence to the Application for an Amended Certificate of Birth by Legitimation and submit it to the State Office of Vital Records. Insert the date and place of marriage in Part III of the application. Insert the full name of the child to be shown on the amended certificate in Part III. SUITE 100 ATLANTA GA 30349 PHONE 404. 679. 4702 GENERAL INFORMATION The State of Georgia Rule 511-1-3-. If the marriage license indicates that the parents married prior to the child s birth advise the applicant that the amendment must be accomplished through court procedure. Amended Certificate of Birth by Legitimation. Enter the information from the original certificate in Part 1 of the application. Obtain information for the amended certificate from the parent s and enter in Part II of the application. If the surname of the child is to be changed to show the father s surname please indicate it in Part II. If the corrections in addition to adding the father s information and changing the surname of the child are requested enter correct information in part II and provide the following a Obtain evidence to substantiate such correction b Attach evidence to the Application for an Amended Certificate of Birth by Legitimation and submit it to the State Office of Vital Records. 10. Monitor the return of the amended certificate. If custodial copy not received within two weeks make written inquiry to the State Office. To carry out the provisions to amend the birth certificate a certified copy of the parents marriage record and an affidavit of both parents are required. If the putative father is deceased when an application for an amendment of a birth is made paternity must be established. If there is another person named as the father on the birth certificate or the marital status on the birth certificate is Yes paternity must still be established through a court of competent jurisdiction or by adoption by the natural father. A If not advise the applicant that the amendment must be accomplished through court procedure. b If so obtain a certified copy of the parent s marriage license. If the marriage license indicates that the parents married prior to the child s birth advise the applicant that the amendment must be accomplished through court procedure. Amended Certificate of Birth by Legitimation. Enter the information from the original certificate in Part 1 of the application. Obtain information for the amended certificate from the parent s and enter in Part II of the application. If the surname of the child is to be changed to show the father s surname please indicate it in Part II. .