The California Department of Public Health is dedicated to optimizing the health and wellbeing of Californians. Both mother and father MUST sign this form and the hospital birth clerk must witness the signatures.Complete Part I, Items 1 – 7, with the information as it appears on the current certificate. 5. A completed Affidavit to Amend Record: Form VS 24. Fill out the Application for a Birth Certificate. How to order: Visit VitalChek. Com and complete the ordering process. After I get the court order, what do I submit to amend my birth certificate? This is an informational pamphlet and checklist that provides stepbystep instructions on the requirements and procedures to amend a birth certificate. PART II: Item 8: Enter the item number from the current birth.