VS-20
The VS-20 form is a sworn statement that you are authorized to receive a copy of the birth certificate once it's amended. This form must be notarized by a California-licensed Notary Public before it's sent to the CDPH. You can learn more about that on the next page.
- Above Applicant's Printed Name, write your new legal name (the one you want to change to).
- Under Registrant, write your new legal name (the one you want to change to).
- Under Applicant's Relationship to Registrant, write "Self".
- Leave everything else blank. You will need to complete the rest in the presence of a Notary Public.
Example
Here's what your form should look like once it's finished (Everything I added is in red for emphasis. Use black when you're filling your form out):
