Office of Vital Records

Change a Parent's Name on a Birth Certificate

  • On January 1, 2015 the Arizona Department of Health Services Office of Vital Records Lobby at 1818 W. Adams Phoenix, AZ 85007 closed the public lobby. Mail-in services will still be available.
  • El 1 de enero de 2015 la recepción de la Oficina del Registro Civil del Departamento de Servicios de Salud de Arizona, ubicada en el 1818 W. Adams, Phoenix , AZ 85007, cerró cerrada al público. Los servicios por correo seguirán estando disponibles.

Mother’s Name Prior to First Marriage

The mother’s name prior to first marriage is listed on the registrant’s birth certificate. This is often the name listed on the mother’s birth certificate (birth name). To amend the mother’s name prior to first marriage, the following must be submitted:

  1. A completed Application for Certified Copy of Birth Certificate [Español]
  2. A copy of the front and back of your valid government-issued picture identification which bears your signature or have your signature notarized. Note: If you are the legal guardian of the registrant, you must also submit proof of eligibility.
  3. Include a self-addressed stamped envelope with your request.
  4. The amendment fee, according to the fee schedule. Acceptable payment methods are: cashier's checks, money orders, Visa, or MasterCard. PLEASE DO NOT SEND CASH. Cashier's checks and money orders must be for the exact amount and made payable to Office of Vital Records. If you pay by credit/debit card, you must include the full card number and expiration date on your application.
  5. A certified copy of the mother’s birth certificate.
  6. The completed Affidavit to Correct or Amend a Birth Certificate form. This form must be signed in the presence of a notary.

Note: If the mother’s name is completely different than the name listed on the registrant’s birth certificate, a certified court order that identifies the mother’s alias names, genetic testing or that identifies a legal name change (whichever is applicable) may be required.

Parent Changed Legal Name

Parents may change their name on the registrant’s birth certificate if the parent has legally changed their name in a superior court or other court of competent jurisdiction.

The following is required to amend the registrant’s birth certificate:

  1. A completed Application for Certified Copy of Birth Certificate [Español]
  2. A copy of the front and back of your valid government-issued picture identification which bears your signature or have your signature notarized. Note: If you are the legal guardian of the registrant, you must also submit proof of eligibility.
  3. Include a self-addressed stamped envelope with your request.
  4. The amendment fee, according to the fee schedule. Acceptable payment methods are: cashier's checks, money orders, Visa, or MasterCard. PLEASE DO NOT SEND CASH. Cashier's checks and money orders must be for the exact amount and made payable to Office of Vital Records. If you pay by credit/debit card, you must include the full card number and expiration date on your application.
  5. A certified copy of the parents’ birth certificate that shows the legal name or a certified copy of the court order listing their previous name (name listed on registrant’s birth certificate) and the new legal name. Note: To delay processing the request and to provide a link between the two names, both documents may be submitted.
  6. The completed Affidavit to Correct or Amend a Birth Certificate form. This form may be required if the court order referenced in #5 above does not clearly specify the name(s) that should be listed in the first, middle, last and suffix fields on the birth certificate for the parent. This form must be signed in the presence of a notary.

Parent Listed an Alias Name on the Registrant’s Birth Certificate

At birth, information is collected concerning the birth to include the names of the parents, their date of birth and place of birth. The parent/informant usually provides this information for the birth certificate and is responsible for verifying the information is correct. If the parent/informant does not provide accurate information, evidentiary documents must be submitted to amend their information on the birth certificate.

If an evidentiary document(s) cannot be provided that clearly links the parent’s incorrect name listed on the registrant’s birth certificate to the new name the parent is requesting to list on the registrant’s birth certificate, a court order identifying the parent’s alias names and that specifies the true name of the parent will be required to amend the birth certificate. The court may require genetic testing as well to prove parentage.

The following is required to amend the registrant’s birth certificate:

  1. A completed Application for Certified Copy of Birth Certificate [Español]
  2. A copy of the front and back of your valid government-issued picture identification which bears your signature or have your signature notarized. Note: If you are the legal guardian of the registrant, you must also submit proof of eligibility.
  3. Include a self-addressed stamped envelope with your request.
  4. The amendment fee, according to the fee schedule. Acceptable payment methods are: cashier's checks, money orders, Visa, or MasterCard. PLEASE DO NOT SEND CASH. Cashier's checks and money orders must be for the exact amount and made payable to Office of Vital Records. If you pay by credit/debit card, you must include the full card number and expiration date on your application.
  5. A certified copy of the court order.
  6. The completed Affidavit to Correct or Amend a Birth Certificate form. This form may be required if the court order referenced in #5 above does not clearly specify the name(s) that should be listed in the first, middle, last and suffix fields on the birth certificate for the parent. This form must be signed in the presence of a notary.