Petition To Correct A Birth Certificate Form - Dekalb County Superior Court printable pdf download

Petition To Correct A Birth Certificate Form - Dekalb County Superior Court

DEKALB COUNTY SUPERIOR COURT

STATE OF GEORGIA

In re:

Civil Action

Case Number

Petitioner.

PETITION TO CORRECT A BIRTH CERTIFICATE

[You must check and complete one of the following, (a) or (b), but not both.]

G (a) I am filing this petition to ask the Court for an order to correct an error on my own birth

certificate. In support of this petition, I state as follows:

G (b) My name is ________________________________________, and I am the minor child’s

parent listed on the child’s birth certificate, or his or her legal guardian. I am filing this

petition on behalf of the minor child named _______________________________________,

[print child’s name exactly as it appears on birth certificate]

asking for an order to correct his/her birth certificate. In support of this petition, I state as

follows:

My name is

, and I live in DeKalb County,

Georgia. Therefore, jurisdiction and venue are proper in this Court.

[If you are filing this petition on behalf of a minor child,

you must also check one of the following, (a) or (b), but not both.]

G (a) The minor child lives with me in DeKalb County.

G (b) The minor child does not live with me. The minor child lives with _____________ in

________________County, Georgia.

[You must check and complete one of the following, (a), (b) or (c), but not more than one.]

G (a) I am over the age of eighteen and I wish to amend an error on my own birth certificate.

G (b) I am a parent listed on the minor child’s birth certificate. I am the G mother G father.

G (c) I am the minor child’s legal guardian.

Petition to Correct Birth Certificate —

Page 1 of 5

Approved March 19, 2010

Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society

Petition To Correct A Birth Certificate Form - Dekalb County Superior Court