The California Department of Public Health ā Vital Records (CDPH-VR) combined the Adjudication of Facts of Parentage (VS 21) and Acknowledgment of Parentage (VS 22) forms into a new application, the Amendment of Parentage (VS 21) (PDF)āā. This new application was developed to simplify the process of amending parentage for customers while ensuring compliance with California Health and Safety Code Sections 102725ā and 102750. The application is used to add, remove, or replace a parent on a birth record and results in a one-page replacement record.āāāāā
Effective immediately, the previous adjudication and acknowledgement forms will no longer be available on our website. CDPH will still accept the previous forms from customers. However, please encourage the use of the new VS 21 application to your customers when given the opportunity.
If you have any questions regarding this matter, please contact CDPH-VR, Amendment Unit at (916) 678-3525.
Sincerely,
Orginial signed by:
TomĆ”s AragĆ³n, MD, DrPH
Director & State Public Health Officer
California Department of Public Health
CDPH Vital Records, MS 5103 āā P.O. Box 997410 ā Sacramento, CA 95899-7410
(916) 552-8116 ā (916) 552-8170 FAX
Internet Address: www.cdph.ca.gov