Fill out the form below and provide supporting documents to request an amendment to a Minnesota birth record. Apply for a certified or uncertified birth certificate or to verify a birth.INSTRUCTIONS. Use the Birth Record Amendment Application form to add or change information on a Minnesota birth certificate. Request for Amendment of the Medical Record. If the request to amend a birth record is for a minor child, the Court must find that a change of a minor child's name is in the best interests of the child. Complete this form to order a certified copy of a Minnesota birth certificate. Quantity and cost – make checks payable to: Hennepin County Treasurer. Quantity. Requests to amend a birth certificate are not automatically granted. Amending a birth record means correcting or completing information on a birth certificate. Month Date. Year. City.