When most people think of court orders, they think of someone being ordered to do something or to stop doing something. However, in some cases, a court order can be used to make changes to official documents. Recently, there was a case in Wisconsin in which a judge issued an order to amend the birth certificate form for one family's child. The parents were seeking to have the child's gender removed from the form. The case made national headlines and sparked a debate about gender identity and what should be included on official documents. Ultimately, the judge ruled in favor of the parents and ordered that the child's gender be removed from the birth certificate form. This is just one example of how a court order can be used to make changes to
| 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