What is the Utah form called?
Affidavit to Amend a Vital Record. This guide uses the official form name verified on Utah's PDF and amend page.
Utah amendments often require an Affidavit to Amend a Vital Record with two notarized witness signatures—notarization does not approve the amendment or issue a certified record.
Published and reviewed by iRemoteNotary
Last reviewed September 20, 2026
Utah's Affidavit to Amend a Vital Record is structured for two witnesses, each with a separate notary block. Death-record guidance states that two people having knowledge of the facts must complete and sign the affidavit and that both signatures must be notarized—ideally including the informant.
Birth and stillbirth pathways have additional age, parent, and court-order boundaries. Notarization does not approve the amendment or issue a certified vital record. Confirm remote online notarization acceptance before booking.
| Item | Verified detail |
|---|---|
| Form name | Affidavit to Amend a Vital Record |
| Form number in this guide | Name verified on official Utah PDF — no separate form-number claim asserted here |
| Witness / notary structure | Two witnesses; each signature notarized on separate notary blocks |
| Record types emphasized | Birth, death, and birth resulting in stillbirth (marriage/divorce amendments go elsewhere) |
| RON status | Recipient confirmation required — no express Utah Vital Records RON acceptance statement reviewed for this affidavit |
Utah states that many vital records may be amended and that amendments require an affidavit or a court order. Once amended, the record status changes and an amendment history becomes part of the record.
iRemoteNotary is a national and international online-notary organization. Remote online notarization is performed under the law of the online notary's commissioning state. For other amendment packets, including Florida DH 430 / DH 433, see the Vital Records Notary Center and Florida amendment affidavits.
Use the current official Affidavit to Amend a Vital Record PDF from Utah Vital Records. The form provides separate notarial certificates for each of two witnesses—do not collapse both witnesses into a single notary block.
For death-record amendments, Utah instructs that two people having knowledge of the facts must complete and sign the affidavit and that both signatures must be notarized. It is ideal if one witness is the informant; if the informant is not supporting the change, contact the state Office of Vital Records.
| Element | Utah framing | Limit |
|---|---|---|
| Affidavit | Supporting paper for certain amendments | Not automatic amendment approval |
| Two witnesses | Each signs; each notarized | Not a substitute for required court orders |
| Certified amended record | Issued by Utah Vital Records after review | Not created by the notary stamp alone |
Birth: affidavit pathways depend on who must sign (certificate holder and immediate family member patterns; parents if the holder is under 18) and on age-based name-change rules. Amendments to a Delayed Birth Certificate require a court order. Some medical and date-of-birth corrections require hospital action or documentary evidence rather than affidavit alone.
Death: submit the completed affidavit with required fees; medical items on the death record must be completed by the physician who certified the cause of death. Documentary evidence may be required at Utah's discretion.
Stillbirth: stillbirth records can be amended up to one year after the date of delivery; other changes require a court order. Affidavits must be signed by the listed parents; if only one parent is listed, the second witness needs to be an immediate family member of a parent.
If both witnesses have the current unsigned Affidavit to Amend a Vital Record, understand that notarization does not approve the amendment, and you will confirm recipient acceptance of remote online notarization, start a secure session with a commissioned U.S. online notary.
Utah's amend page lists court-order boundaries that an affidavit cannot override—examples include amendments to a Delayed Birth Certificate, certain name changes after age-based cutoffs, many posthumous birth amendments beyond limited affidavit windows, and stillbirth changes after one year.
Notarizing an affidavit does not convert a court-order-only change into an affidavit pathway. If Utah's current page says court order, follow that instruction.
Notary ≠ amendment approval. iRemoteNotary does not issue vital records, determine eligibility, approve amendments, issue apostilles, or guarantee acceptance.
Marriage and divorce amendments are directed to county clerk or district court processes on Utah's amend page—not this state affidavit pathway. For apostille questions, see online notarized document and apostille.
Affidavit to Amend a Vital Record. This guide uses the official form name verified on Utah's PDF and amend page.
Yes. The affidavit is structured with separate notary blocks, and death-record guidance states both witness signatures must be notarized.
No. Utah Vital Records still reviews the request. Notarization is not amendment approval.
No. Utah states that amendments to a Delayed Birth Certificate require a court order.
Up to one year after the date of delivery under current Utah guidance; other changes require a court order.
Only if Utah Vital Records accepts remotely notarized witness signatures for this affidavit and your submission channel. 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.
Amend a Vital Record(opens in a new tab)
Utah Department of Health and Human Services / Vital Records
Accessed September 20, 2026
Affidavit to Amend a Vital Record(opens in a new tab)
Utah Department of Health and Human Services / Vital Records
Accessed September 20, 2026
Use the current Affidavit to Amend a Vital Record, complete two separate notarized witness blocks, confirm whether a court order is required instead, and confirm remote online notarization acceptance with Utah before booking a commissioned U.S. online notary.