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You must include a certified copy of the name change court order along with your request. COMPLETE. Check all boxes that apply.Application to Amend Birth Certificate of an Adult. This form is your official request for information on how to amend or correct a birth certificate. Completely fill out the form. Every person authorized to request a correction must complete an Affidavit and Certificate of Correction Request. Make sure that you are eligible to obtain the birth certificate. ☐ Complete the application. Who Can Amend a Certificate? • You will need to complete an Amendment of Birth.