Arizona VS-41 (Revised 04/06/2026) uses a notarized acknowledgment and distinct named-versus-unnamed timing paths; alterations invalidate the form.
Published and reviewed by iRemoteNotary
Last reviewed September 21, 2026
Use the current VS-41, Revised 04/06/2026. Complete it without alterations and sign before a notary. The printed certificate is acknowledgment-style; the signer and notary should use the form as issued rather than treating this guide as advice to substitute another notarial act.
The route depends on whether the child was named at registration and on timing: 90-day, evidence-within-one-year-of-birth, and court-order bands apply. The form is not for adoption or acknowledgment-of-paternity changes. Confirm remote online notarization acceptance before booking.
| Item | Verified detail |
|---|---|
| Form | VS-41 — Revised 04/06/2026 |
| Form integrity | Alterations invalidate the form |
| Notary rule | Sign before a notary; printed certificate is acknowledgment-style |
| Exclusions | Not for adoption or AOP paternity changes |
| Fees | $30 correction/amendment; $20 certified copy with customer birth application |
| RON status | Recipient confirmation required — no express ADHS RON acceptance statement reviewed |
Arizona VS-41 is an affidavit for eligible birth-certificate corrections or amendments. Its revision date is April 6, 2026, and the form warns that alterations invalidate it.
iRemoteNotary is a national and international online-notary organization. Remote online notarization is performed under the law of the online notary's commissioning state. Start at the Vital Records Notary Center or compare Iowa Form 470-5447.
VS-41 separates records where a child was named at registration from records where the child was unnamed. Read the current matrix before deciding whether documentary evidence or a court order is required.
The matrix uses timing bands that include requests within 90 days, evidence created within one year of birth, and court-order paths. The exact row depends on the requested first-, middle-, or last-name action.
| Record/name situation | Timing or evidence band | Route |
|---|---|---|
| Named at registration | Within 90 days where form permits | VS-41 administrative path |
| Named / later request | Evidence established within one year of birth where listed | VS-41 plus qualifying evidence |
| Outside administrative bands | Timing/evidence condition not met | Court order |
| Unnamed at registration | Apply the separate unnamed-child rows | Administrative evidence or court order as matrix states |
Complete the affidavit carefully. Because alterations invalidate VS-41, begin a clean form if information must be changed rather than overwriting, erasing, or correcting the signed form.
Sign before the notary. VS-41 prints an acknowledgment-style notarial certificate. This page does not advise a signer or notary to replace that certificate or substitute a different notarial act.
If you have a current, unaltered, unsigned VS-41, understand that notarization does not approve the amendment, and will confirm recipient acceptance of remote online notarization, start with a commissioned U.S. online notary.
The correction or amendment fee is $30. A certified copy is $20 when requested with the customer birth-certificate application.
Do not use VS-41 for an adoption change or to establish or change paternity through an acknowledgment of paternity (AOP). Follow ADHS's applicable process instead.
Notary ≠ amendment approval. iRemoteNotary does not decide which matrix row applies, issue Arizona records, approve amendments, or guarantee ADHS acceptance.
For authentication after receiving a certified record, see online notarized document and apostille.
At 18 months, the request is outside the named-child 90-day administrative first-name band. Follow the VS-41 matrix's court-order path and confirm current requirements with ADHS.
No. The form warns that alterations invalidate it. Complete a clean current form.
No. VS-41 excludes adoption and acknowledgment-of-paternity changes.
This guide gives no act-substitution advice. VS-41 contains an acknowledgment-style certificate; use the official form and obtain qualified guidance if the certificate presents an issue.
No. ADHS reviews the affidavit and evidence. Notarization is not amendment approval.
Only if ADHS accepts a remotely notarized VS-41 for your submission. Confirm before booking. Recipient confirmation is required.
The following primary sources support the legal and procedural information in this guide. Requirements can change, so confirm current rules with the receiving organization before relying on a notarized document.
Affidavit to Correct or Amend a Birth Certificate (VS-41)(opens in a new tab)
Arizona Department of Health Services
Accessed September 21, 2026
Application for Certified Copy of Birth Certificate(opens in a new tab)
Arizona Department of Health Services
Accessed September 21, 2026
Match the named or unnamed matrix, gather the required evidence or court order, sign the clean form before a notary, and confirm remote online notarization acceptance before booking.