In the heart of Wisconsin, individuals may find it necessary to amend a birth certificate, a process that is facilitated by the Court Order to Amend a Wisconsin Birth Certificate form. Tackling such an amendment requires a comprehensive understanding of legal procedures and meticulous attention to detail, as outlined in the petition for court order. This form is instrumental for anyone seeking to correct information on a Wisconsin birth certificate, guided by Chapter 69.12 of the Wisconsin Statutes. Petitioners are required to provide detailed information including the specific corrections needed, contrasting the incorrect information with the correct data. Importantly, this process is not only about completing and submitting the form; it involves submitting a petition accompanied by two original Court Orders for amendment, supportive evidence to justify the requested changes, and the necessary fees to both the Clerk of Court and the State of Wisconsin Vital Records office. The process is anchored on accountability and precision, where each detail provided can significantly impact the outcome. It is a pathway that ensures birth certificates accurately reflect an individual's identity, offering a blend of legal formality and personal significance.
| Question | Answer |
|---|---|
| Form Name | Court Order To Amend A Wisconsin Birth Certificate Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | wisconsin petition birth certificate, court order to amend birth certificate form, wisconsin amend birth certificate form, wisconsin amend birth certificate |
PETITION FOR COURT ORDER
TO AMEND A WISCONSIN BIRTH CERTIFICATE
(used in conjunction with DPH 5091, Court Order to Amend a Wisconsin Birth Certificate)
Case Number: _______________________
Case Classification Code: 30708
PETITIONING PARTY INFORMATION:
Name: ___________________________________________________
Address: ___________________________________________________
City/State/ZIP ___________________________________________________
Phone No: ___________________________________________________
Petition is hereby being made to correct a birth certificate pursuant to Chapter 69.12, Wis. Stats. The correction(s) being requested to the original birth certificate are as follows:
1.Describe correction required: ________________________________________________
____________________________________________________________ and specify:
INCORRECT INFORMATION |
CORRECT INFORMATION |
______________________________ |
______________________________ |
2.Describe correction required: ________________________________________________
____________________________________________________________ and specify:
INCORRECT INFORMATION |
CORRECT INFORMATION |
______________________________ |
______________________________ |
3.Describe correction required: ________________________________________________
____________________________________________________________ and specify:
INCORRECT INFORMATION |
CORRECT INFORMATION |
______________________________ |
______________________________ |
Enclosed please find two (2) Court Orders to Amend a Wisconsin Birth Certificate (one for court file and one for State Vital Records office), along with the supporting evidence indicated on said Order.
Enclosed please find a check or money order payable to the Clerk of Court, in the amount of $164.50 to cover the filing fee for this action.
Also, enclosed please find a check or money order payable to the State of Wisconsin Vital Records, in the amount of $_________ to cover the fees associated with amending the original
birth certificate and for additional copies of the amended birth certificate as indicated on the back of the Court Order to Amend a Wisconsin Birth Certificate.
Date:____________________________________________________________
Signature of Petitioning Party
Enclosures: 2 Original Court Orders to Amend a Wisconsin Birth Certificate All supporting evidence (as indicated on Order)
Check payable to Clerk of Court (for filing fee)
Check payable to State of Wisconsin Vital Records (for amendment & copies)
Revised 09/09