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):