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Note: This form cannot be used to correct registrant's name or registrant's date of birth. Home; Correction to Name Certificate Request Form. Description.Must attach original name reservation certificate. Category. Clearly print with a black pen or type all information. Complete the Certificate of Correction (Form LLC-LP-11) as follows: Item. Instruction. Tips. 1. Enter the entity name of the entity. Use this form to submit changes or corrections to your personal information on file with the Commission. Hospital or medical facility where the person named on the birth certificate was born. How Do I Make a Correction? Complete all the information on Pages 2 to 4.