California Department of Public Health (2024)

​Form Type

​Fee

​VS 111 – Certified Copy of Birth Record
​$29 per copy
​VS 112 – Certified Copy of Death Record
​$24 per copy
​VS 113A – Certified Copy of Marriage Record
​$17 per copy
​VS 113B – Dissolution of Marriage Certificate
​$16 per copy
​VS 12 – Certified Copy of Fetal Death Record
​$21 per copy
​VS 13E – Certified Copy of Still Birth Record
​$28 per copy
​VS 21 – Amendmentof Parentage

VS 23 – Court Order Name Change

VS 85 – Delayed Registration Birth

VS 108 – Court Order Delayed Registration of Birth

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​VS 24 – Affidavitto Amend a Birth Record*

VS 107 – Supplemental Name Report-Birth

*The fee to change/correct the sex field or parent designation on child’s birthcertificate is $26, regardless of when the request is submitted.

​Submitting within one year from date of birth:

Submitting after one year from date of birth:

​VS 24C – Affidavit to Amend a Marriage Record

*The fee to change either spouses’ designation as bride, groom, or having neitherbox checked to reflect gender identity is $26, regardless of when the request issubmitted.

Submitting within one year from date of marriage:

Submitting after one year from date of marriage:

​VS 24 – Affidavit to Amend a Death Record
​Submitting within one year from date of death:

Submitting after one year from date of death:

​VS 44 – Court Report of Adoption
​Born in CA or born outside of the US/Canada and

adopted in CA:

Born in CA and adopted out of state:

VS 105 – Court Order Delayed Registration of Fetal Death​

• ​$26 amendment fee and includes one free copy of newly amended record.
  
• $21 per additional copy
  

​VS 109 – Court Order Delayed Registration of Death

• ​$26 amendment fee and includes one free copy of newly amended record.
  
• $24 per additional copy
  

​VS 122 – Court Order Delayed Registration of Marriage

• ​$26 amendment fee and includes one free copy of newly amended record.
  
• $17 per additional copy