Forms ; Complaint Verification. PDF ; Summons with Notice.Intheblanks form authorizing an individual filing agent to efile documents on behalf of a single attorney. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. The registered owner or managing agent must sign and date Certification A, then make 2 copies of the form. 3. Public Health Law authorizes the New York State Department of Health to file an amended birth certificate, in place of a certificate that is already on file.