This affidavit may be used to add a name to the birth certificate when there is no given name on the original certificate. This form must be completed and signed before a Notary Public. If the person whose name is to be added is 1-6 years of age, only the notarized affidavit signed by the parents must be submitted. If the person’s name to be added is 7 years of age or older, two documents described on the first page of this form are required.
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