Fill Out Your Court Order To Amend A Wisconsin Birth Certificate Template
The Court Order to Amend a Wisconsin Birth Certificate form is a crucial document for individuals seeking to correct errors on their birth certificates. This process involves filing a petition that outlines the specific corrections needed, such as inaccuracies in personal information like names or dates. The form requires the petitioner to provide detailed information about the incorrect and correct entries, ensuring clarity for the court. Along with the petition, two copies of the Court Order are needed—one for the court file and another for the State Vital Records office. Additionally, the petitioner must include supporting evidence to substantiate the requested changes. To complete the filing, a fee of $164.50 must be paid to the Clerk of Court, along with any additional fees for amending the birth certificate and obtaining extra copies. This form not only serves to rectify personal records but also helps maintain accurate public records, which is essential for various legal and administrative purposes.
Form Example
PETITION FOR COURT ORDER
TO AMEND A WISCONSIN BIRTH CERTIFICATE
(used in conjunction with DPH 5091, Court Order to Amend a Wisconsin Birth Certificate)
Case Number: _______________________
Case Classification Code: 30708
PETITIONING PARTY INFORMATION:
Name: ___________________________________________________
Address: ___________________________________________________
City/State/ZIP ___________________________________________________
Phone No: ___________________________________________________
Petition is hereby being made to correct a birth certificate pursuant to Chapter 69.12, Wis. Stats. The correction(s) being requested to the original birth certificate are as follows:
1.Describe correction required: ________________________________________________
____________________________________________________________ and specify:
INCORRECT INFORMATION |
CORRECT INFORMATION |
______________________________ |
______________________________ |
2.Describe correction required: ________________________________________________
____________________________________________________________ and specify:
INCORRECT INFORMATION |
CORRECT INFORMATION |
______________________________ |
______________________________ |
3.Describe correction required: ________________________________________________
____________________________________________________________ and specify:
INCORRECT INFORMATION |
CORRECT INFORMATION |
______________________________ |
______________________________ |
Enclosed please find two (2) Court Orders to Amend a Wisconsin Birth Certificate (one for court file and one for State Vital Records office), along with the supporting evidence indicated on said Order.
Enclosed please find a check or money order payable to the Clerk of Court, in the amount of $164.50 to cover the filing fee for this action.
Also, enclosed please find a check or money order payable to the State of Wisconsin Vital Records, in the amount of $_________ to cover the fees associated with amending the original
birth certificate and for additional copies of the amended birth certificate as indicated on the back of the Court Order to Amend a Wisconsin Birth Certificate.
Date:____________________________________________________________
Signature of Petitioning Party
Enclosures: 2 Original Court Orders to Amend a Wisconsin Birth Certificate All supporting evidence (as indicated on Order)
Check payable to Clerk of Court (for filing fee)
Check payable to State of Wisconsin Vital Records (for amendment & copies)
Revised 09/09
Document Specs
| Fact Name | Details |
|---|---|
| Purpose | This form is used to petition the court to amend a Wisconsin birth certificate, ensuring that the information accurately reflects the individual's identity. |
| Governing Law | The process is governed by Chapter 69.12 of the Wisconsin Statutes, which outlines the procedures for amending birth certificates. |
| Filing Fees | A filing fee of $164.50 is required, payable to the Clerk of Court. Additional fees may apply for amending the birth certificate and obtaining copies. |
| Supporting Documents | Petitioners must provide two original Court Orders to Amend a Wisconsin Birth Certificate and any supporting evidence as specified in the order. |
Popular PDF Forms
Wisconsin F 62019 - By completing the form, users affirm their understanding and adherence to Wisconsin’s state laws and guidelines relevant to their situation.
For a smoother transition during your divorce, consider this useful guide on the necessary Divorce Settlement Agreement documentation that facilitates the resolution of key issues such as asset division and custody arrangements. To get started, visit the easy-to-use Divorce Settlement Agreement forms that will assist you in this important process.
Wisconsin Mobile Home Title - Recommendations for sending applications, including addresses for regular and overnight mail.