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Birth and Death Certificates Home
Comments and Questions on Correcting a NYC Birth or Death Certificate

Directions: Please enter all the requested information into the available boxes. Once you have completed the appropriate sections, please click on the Submit button on the bottom of the page to send the information to our staff.

     
Vital Records Comment Form (Required):
Your Name:
Phone Number (Day):
Phone Number (Evening):
E-Mail:
Your Street Address:
City:
State:
Zip Code:

Because we may need to contact you with additional questions, it is important that you leave complete and accurate information regarding your name, address, telephone number, and email address.

If you would like additional information about a pending correction application, please fill out the appropriate form.

Birth Certificate Comments
Name on Birth Certificate:
Date of birth:
Mother's maiden name:
Place of birth:
Date requested: 
Your relationship to person on certificate:

How was the correction application submitted?

In-person
By mail

Please check all that apply:

I have not received my own/my child's birth certificate.
I have not received my own/my child's corrected birth certificate.
I received a rejection notice and do not understand the next steps.
There is some other problem with the certificate I received.
I submitted an application more than 90 days ago and have yet to hear anything

You may provide additional information below:

Death Certificate Comments

 

Name on Death Certificate:
Date of death:
Requested Change:
Date requested: 
Your relationship to decedent:

How was the correction application submitted?

In-person
By mail

Please check all that apply:

I have not received the corrected death certificate.
I received a rejection notice and do not understand the next steps.
I submitted an application more than 90 days ago and have yet to hear anything.
There is some other problem with the certificate I received.
I did not receive the correct number of certificates.

You may provide additional information below:

If the above information is correct, use the Submit button to send comments and questions to the Office of Vital Records. If you need to make a change, hit the Start Over button to erase all of the information entered.

NOTE: You will need to enable JavaScript in your browser in order to submit this form.

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