Petition To Correct A Birth Certificate - Superior Court Of Cobb County

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IN THE SUPERIOR COURT OF COBB COUNTY
STATE OF GEORGIA
In re:
Civil Action File Number: ________________
,
Petitioner.
PETITION TO CORRECT A BIRTH CERTIFICATE
[You must check and complete one of the following, (a) or (b), but not both.]
□ (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:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
□ (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 _______________________________________, asking for an
[print child’s name exactly as it appears on birth certificate]
Order to correct his/her birth certificate. In support of this petition, I state as follows:
1.
My name is
, and I live in Cobb 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.]
□ (a) The minor child lives with me in Cobb County.
□ (b) The minor child does not live with me. The minor child lives with _____________ in
________________County, Georgia.
2.
[You must check and complete one of the following, (a), (b) or (c), but not more than one.]
□ (a) I am over the age of eighteen and I wish to amend an error on my own birth certificate.
□ (b) I am a parent listed on the minor child’s birth certificate. I am the □ mother / □ father.
□ (c) I am the minor child’s legal guardian.
3.
“Instructions for Petition to Correct Birth Certificate”
Page 15 of 23
Rev 4/2017
Provided by the Superior Court of Cobb County

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